Basic applied concepts of blood banking and transfusion practices 5th edition

Test BankForBasic&AppliedConceptsofBloodBankingand Transfusion
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Practices5thEdition– ByPaulaHoward
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|Verified Chapter's1 -16 |Complete
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,TableofContents f f




PartI:QualityandSafetyIssues
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1. Quality Assurance and Regulation of the Blood Industry: Safety Issues in the Blood Bank…………………………….3 Part II:
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Foundations:BasicSciencesandReagents
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2. Immunology:BasicPrinciplesandApplicationsintheBloodBank…………………………………………………….8 f f f f f f f f f




3. Blood Banking Reagents: Overview and Applications……………………………………………………………………13 4. Genetic Principles in
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BloodBanking……………………………………………………………………………………….18 PartIII:OverviewoftheMajorBloodGroups
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5. ABO and H Blood Group Systems and Secretor Status………………………………………………………………….22
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System……………………………………………………………………………………………………26
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7. OtherRedCellBloodGroupSystems,HumanLeukocyteAntigens,andPlateletAntigens………………………….30 PartIV:
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EssentialsofPretransfusionTesting
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8. Antibody Detection and Identification……………………………………………………………………………………34 9. Compatibility
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f Testing………………………………………………………………………………………………………38

10. Blood Bank Automation for Transfusion Services………………………………………………………………………44 Part V: Clinical
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ConsiderationsinImmunohematology
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11. AdverseComplicationsofTransfusions………………………………………………………………………………….46
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12. HemolyticDiseaseoftheFetusand Newborn……………………………………………………………………………50 PartVI:BloodCollecting f f f f f f f f f f




andTesting
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13. Donor Selection and Phlebotomy………………………………………………………………………………………….55 14. Testing of Donor
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Blood…………………………………………………………………………………………………….60
f f Part VII: Blood Component Preparation and
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TransfusionTherapy
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15. BloodComponentPreparationandTherapy…………………………………………………………………………….63
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16. TransfusionTherapyinSelectedPatients………………………………………………………………………………..66 f f f f f

,Chapter01:QualityAssuranceandRegulationoftheBloodIndustryandSafetyIssuesintheBloodBank Howard:Basic&
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AppliedConceptsofBloodBankingandTransfusionPractices,5thEdition
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MULTIPLE CHOICE f




1. Biosafetylevels determine: f f




a. on what floor certain infectious disease testing can be performed.
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b. the degreeofrisk for certain areas ofa healthcare facilityto exposureto
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finfectious diseases. f




c. the amount ofventilationrequired ina transfusionservice.
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d. how manybiohazardous waste containers a laboratorymust have.f f f f f f f f




ANS: B f




OSHAdefines biosafetylevels based onpotentialexposure to infectious material.
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DIF: Level1 f




2. A laboratorytechnologist decided she would like to bring her labcoat home for laundering because it had too manywrinkles when
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it was returned bythe laboratory’s laundryservice. Isthispractice acceptable?
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a. Yes, ifshe uses 10% bleach f f f f f




b. Yes, ifshe clears it withher supervisor f f f f f f f




c. Yes, as long as she removes the coat and does not wear it home f f f f f f f f f f f f f




d. No, because the laboratoryis a biosafetylevel2, and labcoats may not be
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removed f




ANS: D f




Methodsoftransporting the labcoat andthe risk ofcontaminationdo not permit healthcare workersto bring labcoats home for cleaning.
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DIF: Level2 f




3. Personalprotective equipment includes: f f f




a. safetyglasses. f




b. splashbarriers. f




c. masks.
d. Allofthe above f f f




ANS: D f




Safetyglasses, splashbarriers, and masksare types ofpersonalprotective devices.
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DIF: Level1 f




4. At what point inthe employment process should safetytraining take place?
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a. During orientationand training f f f




b. Following labtraining when employees are more familiar withtheir f f f f f f f f f




responsibilities
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c. Following the employees’ first evaluation f f f f




d. Before independent work is permitted and annuallythereafter f f f f f f f




ANS: D f




The OccupationSafetyand Health Administrationrequires safetytraining before independent work is permitted and annually thereafter.
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DIF: Level1 f




5. Insafetytraining, employees must become familiar withallofthe following except:
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a. tasksthat have an infectious risk. f f f f f




b. limits ofprotective clothing and equipment. f f f f f




c. the appropriate actionto takeif exposureoccurs. f f f f f f f




d. howto performcardiopulmonaryresuscitationon a donor orother employee. f f f f f f f f f f




ANS: D f




The OccupationalSafetyand Health Administration requirements include allofthose listed except cardiopulmonaryresuscitation.
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DIF: Level1 f




6. Blood irradiatorsrequire allofthe following safetyprocedures except:
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a. proper training. f




b. thatthe user have a degree inradiology. f f f f f f f




c. equipment leak detection. f f




d. personalprotective equipment. f f




ANS: B f




Blood bank and transfusionservice technologists require training but not a degreeto use a bloodirradiator.
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DIF: Level2 f

, 7. Whichofthe following is true regarding good manufacturing practices (GMPs)?
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a. GMPs are legalrequirements established bythe Foodand Drug Administration. f f f f f f f f f f




b. GMPs are optionalguidelines written bythe AABB. f f f f f f f




c. GMPs are required onlybypharmaceuticalcompanies. f f f f f f




d. GMPs are part ofthe qualitycontrolrequirementsfor blood products. f f f f f f f f f f




ANS: A f




Good manufacturing practices are requirements established bythe Foodand Drug Administration.
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DIF: Level1 f




8. Whichofthe following is anexample ofanunacceptable record-keeping procedure?
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a. Using dittos incolumns to save time f f f f f f




b. Recording the date and initials next to a correction f f f f f f f f




c. Not deleting theoriginalentrywhen making a correction f f f f f f f f




d. Always using permanent ink on allrecords f f f f f f




ANS: A f




Allrecords must be clearlywritten. Dittos are unacceptable.
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DIF: Level1 f




9. Atechnologist intraining noticed that the person training her had not recordedthe results of a test. To be helpful, she carefully
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f recordedthe results she saw at alater time, using the technologist’s initials. Is this anacceptable procedure?
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a. Yes;allresults must be recorded regardless ofwho did the test. f f f f f f f f f f f




b. No;she should have brought the errorto thetechnologist’s attention.
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c. Yes;because she used the other technologist’s initials. f f f f f f f




d. Yes;as long as she recordsthe result inpencil. f f f f f f f f f




ANS: B f




This isanexample ofpoor record keeping; results must be recorded whenthe test isperformed and bythe person doing the test.
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DIF: Level3 f




10. Unacceptable quality controlresults forthe antiglobulintest performed intest tubes may be noticed if: f f f f f f f f f f f f f f f




a. preventive maintenance has not beenperformed onthe cellwasher. f f f f f f f f f




b. thetechnologist performing the test was never trained.
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c. the reagents used were improperlystored. f f f f f




d. Allofthe above f f f




ANS: D f




Training, equipment maintenance, and reagent qualitycan affect qualitycontrol. f f f f f f f f f




DIF: Level2 f




11. Allofthe following are trueregarding competencytesting except:
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a. it must be performed following training.
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b. it must be performed on anannualbasis.
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c. it is required onlyifthe technologist has no experience.
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d. retraining is required ifthere isa failure incompetencytesting. f f f f f f f f f f




ANS: C f




Allemployees must have competencytesting following training and annuallythereafter. Ifthere isa failure incompetencytesting,
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fretraining isrequired. f f




DIF: Level2 f




12. Whichofthe following organizations are involved inthe regulation ofblood banks?
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a. The Joint Commission f f




b. AABB
c. College ofAmericanPathologists f f f




d. Food and Drug Administration f f f




ANS: D f




The Food and DrugAdministrationregulates blood banks, whereas the other organizations are involved inaccreditation.
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DIF: Level1 f




13. Allofthe following are responsibilities ofthe qualityassurance department ofa blood bank except:
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a. performing internalaudits. f f




b. performing qualitycontrol. f f




c. reviewing standard operating procedures. f f f




d. reviewing and approving training programs. f f f f




ANS: B f




Qualitycontrolisperformed inthe laboratory, not bythe qualityassurance department.
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DIF: Level2 f