,NUR 209 Med Surg 2 Exam 1,2 and 3 Quiz Bank
Correct
100%
Incorrect 00
Questions and answers
1 of 29
Definition
3)
Run normal saline at a keep-vein-open rate.Rationale:If the nurse
suspects a transfusion reaction, the nurse stops the transfusion and
infuses normal saline at a keep-vein-open rate pending further health
care provider prescriptions. This maintains a patent IV access line and
aids in maintaining the client's intravascular volume. The nurse would
NOT remove the IV line because then there would be no IV access
route.Obtaining a culture of the tip of the catheter device removed
from the client is incorrect. First, the catheter should NOT be removed.
Second, cultures are performed when infection, NOT transfusion
reactions, is suspected.
Give this one a try later!
,The nurse has just received a unit of packed red blood cells from the blood bank
for transfusion to an assigned client. The nurse is careful to select tubing especially
made for blood products, knowing that this tubing is manufactured with which item?
1) An air vent
2) Tinted tubing
3) An in-line filter
4) A microdrip chamber
The nurse has received a prescription to transfuse a client with a unit of packed red
blood cells. Before explaining the procedure to the client, the nurse should ask
which INITIAL question?
1) "Have you ever had a transfusion before?"
2) "Why do you think that you need the transfusion?"
3) "Have you ever gone into shock for any reason in the past?"
4) "Do you know the complications and risks of a transfusion?"
The nurse is documenting peripheral venous catheter insertion for a client. What
does the nurse include in the note? Select all that apply
a) Client’s name and hospital number
b) Client’s response to the insertion
c) Date and time inserted
d) Type and size of device
e) Type of dressing applied
f) Vein used for insertion
The nurse determines that a client is having a transfusion reaction. After the
nurse stops the transfusion, which action should be taken NEXT?
1) Remove the intravenous (IV) line.
2) Run a solution of 5% dextrose in water.
3) Run normal saline at a keep-vein-open rate.
4) Obtain a culture of the tip of the catheter device removed from the client.
Don't know?
2 of 29
, Term
The new registered nurse is identifying a patient for blood transfusion.
Which action by the new nurse warrants intervention by the
supervising nurse?
a. Checks the health care provider's order before the blood transfusion
b. Compares the hospital identification band name and number to
those on the blood component tag
c. Uses the patient's room number as a form of identification
d. Examines blood bag tag and attached tag to ensure that the ABO
and Rh types are compatible
Give this one a try later!
C
B(A hard, cordlike vein suggests phlebitis at the IV site and indicates an immediate
need for nursing intervention. The IV should be discontinued and restarted at
another site.It is common for IVs to cause pain during insertion. An intact
transparent dressing requires changing only every 7 days. Tubing for peripheral IVs
should be changed every 72 to 96 hours.)
A
B
Don't know?
Correct
100%
Incorrect 00
Questions and answers
1 of 29
Definition
3)
Run normal saline at a keep-vein-open rate.Rationale:If the nurse
suspects a transfusion reaction, the nurse stops the transfusion and
infuses normal saline at a keep-vein-open rate pending further health
care provider prescriptions. This maintains a patent IV access line and
aids in maintaining the client's intravascular volume. The nurse would
NOT remove the IV line because then there would be no IV access
route.Obtaining a culture of the tip of the catheter device removed
from the client is incorrect. First, the catheter should NOT be removed.
Second, cultures are performed when infection, NOT transfusion
reactions, is suspected.
Give this one a try later!
,The nurse has just received a unit of packed red blood cells from the blood bank
for transfusion to an assigned client. The nurse is careful to select tubing especially
made for blood products, knowing that this tubing is manufactured with which item?
1) An air vent
2) Tinted tubing
3) An in-line filter
4) A microdrip chamber
The nurse has received a prescription to transfuse a client with a unit of packed red
blood cells. Before explaining the procedure to the client, the nurse should ask
which INITIAL question?
1) "Have you ever had a transfusion before?"
2) "Why do you think that you need the transfusion?"
3) "Have you ever gone into shock for any reason in the past?"
4) "Do you know the complications and risks of a transfusion?"
The nurse is documenting peripheral venous catheter insertion for a client. What
does the nurse include in the note? Select all that apply
a) Client’s name and hospital number
b) Client’s response to the insertion
c) Date and time inserted
d) Type and size of device
e) Type of dressing applied
f) Vein used for insertion
The nurse determines that a client is having a transfusion reaction. After the
nurse stops the transfusion, which action should be taken NEXT?
1) Remove the intravenous (IV) line.
2) Run a solution of 5% dextrose in water.
3) Run normal saline at a keep-vein-open rate.
4) Obtain a culture of the tip of the catheter device removed from the client.
Don't know?
2 of 29
, Term
The new registered nurse is identifying a patient for blood transfusion.
Which action by the new nurse warrants intervention by the
supervising nurse?
a. Checks the health care provider's order before the blood transfusion
b. Compares the hospital identification band name and number to
those on the blood component tag
c. Uses the patient's room number as a form of identification
d. Examines blood bag tag and attached tag to ensure that the ABO
and Rh types are compatible
Give this one a try later!
C
B(A hard, cordlike vein suggests phlebitis at the IV site and indicates an immediate
need for nursing intervention. The IV should be discontinued and restarted at
another site.It is common for IVs to cause pain during insertion. An intact
transparent dressing requires changing only every 7 days. Tubing for peripheral IVs
should be changed every 72 to 96 hours.)
A
B
Don't know?
