Week 1

Question 1

What blood test must be done before a transfusion?

Answer 1

Type and cross match

Question 2

What does a type and cross match indicate?

Answer 2

Whether a clients blood and donor blood are compatible

Question 3

What should the nurse measure before starting a blood transfusion?

Answer 3

Vital signs

Question 4

With what solution should blood be transfused?

Answer 4

0.9 % normal saline

Question 5

How many nurses are required to check blood before blood transfusion?

Answer 5

2 nurses

Question 6

What happens when blood is transfused with Dextrose IV?

Answer 6

The cells clump together and don’t flow well

Question 7

If a transfusion reaction occurs what should the nurse do first?

Answer 7

Stop the blood transfusion and start running saline

Question 8

How long can a unit of blood be on the unit before it must be started?

Answer 8

Less then 1/2 hour

Question 9

What should a nurse do with the IV line if a transfusion reaction is suspected?

Answer 9

Keep it open with saline

Question 10

If a transfusion reaction is suspected, what samples are collected and sent to the lab?

Answer 10

Urine and blood

Question 11

If a unit of blood is infused through a central line it must be:

Answer 11

Warmed

Question 12

Which of the following are signs of transfusion reaction?
a. bradycardia
b. fever
c. hives
d. wheezing
e. increased blood pressure
f. low back pain

Answer 12

b fever
c. hives
d. wheezing
f. low back pain

Question 13

What are three types of transfusion reactions that can occur?

Answer 13

hemolytic, febrile, allergic

Question 14

What are the signs and symptoms of hemolytic transfusion reaction?

Answer 14

shivering, HA, low back pan, increased pulse, increased respiratory rate, decreased blood pressure, olguria, hematuria

Question 15

What are signs and symptoms of febrile transfusion reaction?

Answer 15

low back pain, shaking HA, increasing temp, confusion, hemoptysis

Question 16

What are the signs and symptoms of a allergic reaction to a transfusion?

Answer 16

Hives, uticaria, wheezing, pruritus, joint pain

Question 17

What are three reasons for blood transfusion?

Answer 17

restore blood volume secondary to hemorrhage
maintain hemoglobin in anemia
replace specific blood components

Question 18

What does blood-typing mean?

Answer 18

check for surface antigen on the red blood cells

Question 19

When does blood typing and cross matching need to be done?

Answer 19

Whenever a client is to a get a blood product. it is only good for 24 hrs

Question 20

What does blood cross matching mean?

Answer 20

Mixing a little of a clients blood with the donor blood looking for agglutination (clumping)

Question 21

When are hemolytic transfusion reactions likely to occur?

Answer 21

In the first 10 to 15 minutes

Question 22

The most radical prostate surgery is the ___________ prostatectomy?

Answer 22

Perineal

Question 23

What kind of diet is used in BPH?

Answer 23

Acid Ash

Question 24

What is the primary purpose of a 3 way continuous bladder irrigation (CBI) after TURP?

Answer 24

To keep the catheter clear of clots and to drain urine

Question 25

What solution is used for a CBI?

Answer 25

Normal saline (NaC 0.9)

Question 26

How fast do you run a CBI?

Answer 26

At whatever rate it takes to keep the urine flowing and free of clots

Question 27

What drug is used to treat bladder spasms?

Answer 27

B&O suppositories (belladonna and opium)

Question 28

Name the fix/six essential nutrients?

Answer 28

carbs, fats, proteins, vitamins, minerals, water

Question 29

the major source of energy for the body is

Answer 29

carbs

Question 30

Sucrose is a sugar found in __________ and __________

Answer 30

fruits and vegetables