NU 407 Exam 1 Guide With
Complete Solution
What kind of contact is covid? - ANSWER droplet contact
what should you wear when going into a room with a person who has covid?
- ANSWER -gloves
-gown
-surgical mask
-goggles/face shield
sequence for putting on PPE - ANSWER 1. gown
2. mask
3.goggles
4. gloves
sequence for removing PPE - ANSWER 1. gown and gloves
2. goggles
3. mask
4. wash hands
What is the easiest and most effective way to break the chain of
transmission? - ANSWER hand washing
a pregnant woman is at a much... - ANSWER high risk for becoming very sick
,or having risk when being pregnant or developing your baby
what is a blood transfusion? - ANSWER a patient is transfused new blood
products via IV access
What are two reasons why someone might need a blood transfusion? -
ANSWER -Anemia
-Trauma with blood loss (hypovolemic shock)
What are 2 examples of how someone may experience blood loss? - ANSWER
-GI ulcer/bleed
-severe burns
-surgery
-trauma
what are 3 reasons a patient may experience anemia? - ANSWER -iron
deficiency
-b-12 deficiency
-folic acid deficiency
-hemorrhage
-kidney disease
what is the role of RBCs? - ANSWER transport oxygen through the body
As a general guideline, a blood transfusion is recommended when the
hemoglobin is between... - ANSWER 8g/dL
normal hemoglobin for a male... - ANSWER 13-17
,normal hemoglobin for a woman... - ANSWER 12-16
Prior to a blood transfusion, prep work is essential in preventing? - ANSWER
anaphylaxis and infection
Who will match the blood and prepare the needed units? - ANSWER The
blood bank will prepare the blood units. The nurse is responsible for
matching the Fenwall label on the bag and with the patient's information.
The blood must be checked by 2 licensed nurses.
universal donor - ANSWER O neg
blood type that can receive blood from any donor... - ANSWER AB+
True or False? The nurse must obtain informed consent prior to
administering blood products. - ANSWER true
What items are important to ask the patient prior administering a blood
transfusion? - ANSWER Have they had a blood transfusion before and have
they had a reaction. Do they have any allergies, number of time pregnancies,
If a patient has had numerous blood transfusions in the past, what are they
at risk for developing? - ANSWER Febrile Nonhemolytic Reaction (Chills and
Fever that will occur 2 hours after the transfusion begins).
-incorrect blood type infusion
-use correct patient identifiers
What are 2 medications that a patient may be given to prevent a reaction? -
ANSWER Diphenhydramine & Acetaminophen (given 30 minutes before
transfusion)
How long before starting a transfusion should you pre-medicate the patient?
, - ANSWER 30 minutes
Why is it important to know if your patient has heart failure or renal failure
prior to transfusing? - ANSWER To reduce the risk of fluid overload
What medication may be ordered before, between or after a transfusion to
help prevent fluid overload? - ANSWER Diuretic (Furosemide)
What size IV site is typically recommended for blood transfusions
______________ Why? - ANSWER 20g or larger promotes minimal patient
discomfort and optimal rate of blood flow
How long does it typically take to infuse a unit of blood? - ANSWER 4 hours
What is the importance of having an additional or secondary IV site? -
ANSWER Quick access to give other medication if needed (if 1st is dislodged)
What type of tubing is required to transfuse blood? - ANSWER A "Y" tubing
which contains a filter and allows for saline to be flush.
What is the ONLY type of IV solution that should be used during blood
transfusion? - ANSWER Normal Saline
What is the IV fluid used for during a transfusion? - ANSWER Wash out the
tubing to make sure the patient gets all the blood. If they have an adverse
reaction, you can stop the blood and give just the fluids.
What is the proper way to dispose of the empty blood bag and tubing after
the transfusion - ANSWER Put all the supplies in a red biohazard bag.
How many units will the blood bank send you at one time? - ANSWER 2
Once the blood is received by the nurse, how long does the nurse have
before the infusion MUST be started? - ANSWER 30 min
Complete Solution
What kind of contact is covid? - ANSWER droplet contact
what should you wear when going into a room with a person who has covid?
- ANSWER -gloves
-gown
-surgical mask
-goggles/face shield
sequence for putting on PPE - ANSWER 1. gown
2. mask
3.goggles
4. gloves
sequence for removing PPE - ANSWER 1. gown and gloves
2. goggles
3. mask
4. wash hands
What is the easiest and most effective way to break the chain of
transmission? - ANSWER hand washing
a pregnant woman is at a much... - ANSWER high risk for becoming very sick
,or having risk when being pregnant or developing your baby
what is a blood transfusion? - ANSWER a patient is transfused new blood
products via IV access
What are two reasons why someone might need a blood transfusion? -
ANSWER -Anemia
-Trauma with blood loss (hypovolemic shock)
What are 2 examples of how someone may experience blood loss? - ANSWER
-GI ulcer/bleed
-severe burns
-surgery
-trauma
what are 3 reasons a patient may experience anemia? - ANSWER -iron
deficiency
-b-12 deficiency
-folic acid deficiency
-hemorrhage
-kidney disease
what is the role of RBCs? - ANSWER transport oxygen through the body
As a general guideline, a blood transfusion is recommended when the
hemoglobin is between... - ANSWER 8g/dL
normal hemoglobin for a male... - ANSWER 13-17
,normal hemoglobin for a woman... - ANSWER 12-16
Prior to a blood transfusion, prep work is essential in preventing? - ANSWER
anaphylaxis and infection
Who will match the blood and prepare the needed units? - ANSWER The
blood bank will prepare the blood units. The nurse is responsible for
matching the Fenwall label on the bag and with the patient's information.
The blood must be checked by 2 licensed nurses.
universal donor - ANSWER O neg
blood type that can receive blood from any donor... - ANSWER AB+
True or False? The nurse must obtain informed consent prior to
administering blood products. - ANSWER true
What items are important to ask the patient prior administering a blood
transfusion? - ANSWER Have they had a blood transfusion before and have
they had a reaction. Do they have any allergies, number of time pregnancies,
If a patient has had numerous blood transfusions in the past, what are they
at risk for developing? - ANSWER Febrile Nonhemolytic Reaction (Chills and
Fever that will occur 2 hours after the transfusion begins).
-incorrect blood type infusion
-use correct patient identifiers
What are 2 medications that a patient may be given to prevent a reaction? -
ANSWER Diphenhydramine & Acetaminophen (given 30 minutes before
transfusion)
How long before starting a transfusion should you pre-medicate the patient?
, - ANSWER 30 minutes
Why is it important to know if your patient has heart failure or renal failure
prior to transfusing? - ANSWER To reduce the risk of fluid overload
What medication may be ordered before, between or after a transfusion to
help prevent fluid overload? - ANSWER Diuretic (Furosemide)
What size IV site is typically recommended for blood transfusions
______________ Why? - ANSWER 20g or larger promotes minimal patient
discomfort and optimal rate of blood flow
How long does it typically take to infuse a unit of blood? - ANSWER 4 hours
What is the importance of having an additional or secondary IV site? -
ANSWER Quick access to give other medication if needed (if 1st is dislodged)
What type of tubing is required to transfuse blood? - ANSWER A "Y" tubing
which contains a filter and allows for saline to be flush.
What is the ONLY type of IV solution that should be used during blood
transfusion? - ANSWER Normal Saline
What is the IV fluid used for during a transfusion? - ANSWER Wash out the
tubing to make sure the patient gets all the blood. If they have an adverse
reaction, you can stop the blood and give just the fluids.
What is the proper way to dispose of the empty blood bag and tubing after
the transfusion - ANSWER Put all the supplies in a red biohazard bag.
How many units will the blood bank send you at one time? - ANSWER 2
Once the blood is received by the nurse, how long does the nurse have
before the infusion MUST be started? - ANSWER 30 min
