Exam 29: Blood Transfusions

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The nurse is caring for a patient who is receiving blood while monitoring the patient for potential complications.The nurse knows that a systemic response to administration of a blood product that is incompatible with the blood of the recipient, contains allergens to which the recipient is sensitive or allergic, or is contaminated with pathogens is known as a _________.

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hemolytic reaction
A hemolytic reaction is a systemic response to the administration of a blood product that is incompatible with the blood of the recipient, contains allergens to which the recipient is sensitive or allergic, or is contaminated with pathogens.

What is the purpose of administering a transfusion? (Select all that apply.)

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A, B, C

The patient is to receive 1 unit of packed RBCs.The nurse obtains the blood from the blood bank and returns to the unit to find that the patient has been taken to radiology for a CT scan and is expected to return in about an hour.What should the nurse do?

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C

The specific blood product used for replacement of clotting factors and fibrinogen is:

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The nurse is caring for a patient who needs a blood transfusion.The patient has been tested and was found to have blood type O.The nurse knows this means that which antigen is present on the surface of the red blood cells?

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The nurse is administering blood.What should the nurse do to detect a blood reaction as quickly as possible?

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The presence or absence of specific antigens on the surface of red blood cells determines ___________________ in the ABO system.

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Under the ABO system, the blood type __________ can be given to any individual and is known as the "Universal Donor."

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When a patient's adverse reaction to a blood transfusion is differentiated, which of the following signs/symptoms indicates the presence of an anaphylactic response?

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The nurse is preparing to administer a unit of blood to a patient using blood tubing.On the blood product side of the Y tubing, she will hang blood.What will she hang on the other side of the Y tubing?

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The nurse is administering 1 unit of packed red blood cells as ordered by the primary care provider.While the nurse is measuring vital signs 15 minutes after starting the transfusion, the patient complains of chills and back pain.What is the nurse's first action?

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Symptoms that indicate an adverse reaction to blood products include which of the following? (Select all that apply.)

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What primary intervention should a nurse who is preparing a blood transfusion perform?

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The patient has received a total of 7 units of blood over the past 8 hours.The nurse assesses the patient's laboratory test results.Which of the following would be an expected complication?

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The patient is receiving a unit of packed RBCs.Fifteen minutes into the procedure, he complains of severe kidney pain, and his temperature increases by 3° F.The nurse stops the transfusion immediately, suspecting that which of the following reactions is occurring?

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A transfusion in which the donor is the patient is known as an ______________ transfusion or autotransfusion.

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The patient is scheduled to receive 1 unit of packed RBCs.She has small, fragile veins, and a 22-gauge intravenous (IV) patent catheter is in place.What should the nurse do?

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A nurse is concerned about the type of blood that a patient is to receive.A patient with an O blood type may safely receive which type of blood?

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For how long may blood preserved with CPD be stored (unfrozen) before use?

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An appropriate technique for the nurse to implement for a blood transfusion is to:

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