N3160 - Blood Transfusion Questions With Complete
Solutions
A nurse is caring for a client who is receiving a transfusion of
platelets. For what condition would a client require this type of
blood component therapy?
A. Thrombocytopenia
B. Immunodeficiency
C. Symptomatic anemia
D. Organ rejection Correct Answer A. Thrombocytopenia
After 20 minutes Mrs. J's assessment includes flushed skin, T
38.9, R 32, BP 100/60, c/o
chest pain and chills. Identify the priority problem and prioritize
the nursing interventions for this situation.
__ Stop the transfusion
__ Complete a transfusion reaction report and send with
appropriate samples to the lab
__ Infuse 0.9% NS at 50 cc/hr
__ Assess the VS, breath sounds and airway patency frequently
__ Disconnect the blood bag and tubing (send bag and tubing to
the lab)
__ Inform the MD
__ Complete all the appropriate documentation
__ Reconfirm the unique identifiers on client and blood
component/product Correct Answer 1.Stop the transfusion
2.Disconnect the blood bag and tubing
, 3.Infuse NS at 50cc/hr
4.Assess the VS, breath sounds and airway patency frequently
5.Reconfirm the unique identifiers on patient and blood
component/product (If an error occurred call TMS immediately,
another patient may be at risk)
6.Inform the MD
7.Complete a transfusion reaction report and send with
appropriate samples to the lab
8.Complete all appropriate documentation
Blood must be started/given within ___ and must be completed
within ___ of leaving blood bank fridge Correct Answer - 30
minutes
- 4 hours
How much time do you from the time release stamp from Blood
Bank to start the transfusion?
A.15 minutes
B.30 minutes
C.45 minutes
D.60 minutes Correct Answer - B = 30 minutes
Infusion rate of Blood products Correct Answer - Start slow,
usually at 50 mL/hr
Solutions
A nurse is caring for a client who is receiving a transfusion of
platelets. For what condition would a client require this type of
blood component therapy?
A. Thrombocytopenia
B. Immunodeficiency
C. Symptomatic anemia
D. Organ rejection Correct Answer A. Thrombocytopenia
After 20 minutes Mrs. J's assessment includes flushed skin, T
38.9, R 32, BP 100/60, c/o
chest pain and chills. Identify the priority problem and prioritize
the nursing interventions for this situation.
__ Stop the transfusion
__ Complete a transfusion reaction report and send with
appropriate samples to the lab
__ Infuse 0.9% NS at 50 cc/hr
__ Assess the VS, breath sounds and airway patency frequently
__ Disconnect the blood bag and tubing (send bag and tubing to
the lab)
__ Inform the MD
__ Complete all the appropriate documentation
__ Reconfirm the unique identifiers on client and blood
component/product Correct Answer 1.Stop the transfusion
2.Disconnect the blood bag and tubing
, 3.Infuse NS at 50cc/hr
4.Assess the VS, breath sounds and airway patency frequently
5.Reconfirm the unique identifiers on patient and blood
component/product (If an error occurred call TMS immediately,
another patient may be at risk)
6.Inform the MD
7.Complete a transfusion reaction report and send with
appropriate samples to the lab
8.Complete all appropriate documentation
Blood must be started/given within ___ and must be completed
within ___ of leaving blood bank fridge Correct Answer - 30
minutes
- 4 hours
How much time do you from the time release stamp from Blood
Bank to start the transfusion?
A.15 minutes
B.30 minutes
C.45 minutes
D.60 minutes Correct Answer - B = 30 minutes
Infusion rate of Blood products Correct Answer - Start slow,
usually at 50 mL/hr
