ATI - Blood Administration Questions and Answers | Latest Version | 2025/2026 | Correct & Verified

ATI - Blood Administration Questions and Answers | Latest Version | 2025/2026 | Correct & Verified What is the minimum gauge IV catheter recommended for administering a blood transfusion? 20 gauge How soon should blood be started after being received from the blood bank? Within 30 minutes How long should a nurse remain with a client after starting a blood transfusion? At least the first 15 minutes What is the maximum time allowed for infusing a unit of blood? 4 hours Before starting a blood transfusion, what should the nurse check with another licensed staff member? Client identity, blood type, and compatibility 2 What is the first action if a client develops chills, fever, and back pain during a transfusion? Stop the transfusion immediately Which solution is used to prime the IV line for blood administration? 0.9% sodium chloride (normal saline) Why is dextrose 5% in water (D5W) not used with blood transfusions? It can cause red blood cell hemolysis What vital signs must be taken before starting a transfusion? Temperature, blood pressure, respiratory rate, and heart rate What is the primary purpose of staying with the client during the first 15 minutes of transfusion? To monitor for signs of transfusion reaction What should the nurse do with blood that has been out of the refrigerator for more than 30 minutes? 3 Return it to the blood bank and do not use it What type of tubing is required for blood administration? Blood tubing with a filter How frequently should vital signs be taken during a blood transfusion? Before, 15 minutes after starting, every hour, and at the end What is a sign of a hemolytic transfusion reaction? Back pain, fever, chills, and dark urine What is the priority action if a transfusion reaction is suspected? Stop the transfusion and maintain IV access with saline If blood is infusing too slowly and nearing the 4-hour limit, what should the nurse do? Stop the transfusion and discard the remaining blood When should the nurse obtain consent for blood transfusion? 4 Before initiating the transfusion