172 Final Exam Hondros term 3 Questions and Answers 100% Pass

172 Final Exam Hondros term 3 Questions and Answers 100% Pass What gauge needle would we use for donating blood? - Correct Answer ️️ -16-18 gauge needle How long should you scrub the site? Hub? - Correct Answer ️️ -Site-30 seconds, Hub- 15 seconds What is our preferred method used to clean a site or hub? Why? - Correct Answer ️️ - chlorhexidine (lasts 24 hours) What should you pay attention to using any type of iodine on a patient? - Correct Answer ️️ -allergies to shellfish Complications - Correct Answer ️️ -Hematoma's (contributed to anticoag therapy or poor technique) Can we initiate blood? - Correct Answer ️️ -Not initiate, but we can verify things and stop the blood if we suspect a reation to it. What are the first signs of a reaction to blood product? - Correct Answer ️️ - Restlessness, sob, rash, vitals taking The first action you do when you see a reaction to blood? - Correct Answer ️️ -STOP the transfusion, not REMOVE it. Blood products - Correct Answer ️️ -Albumin is a blood expander and can cause pulmonary edema, increase cardiac output (increase BP), you are at NO risk for transmitting hepatitis from albumin, acts as a transport for the protein Patient who needs to receive packed red blood cells - Correct Answer ️️ -admitted with bright red emesis, heart rate of 120, high pulse low bp, Hgb of 7.8 (usually an Hgb under 9 is a sign of patient being unstable) Biggest risk of packed RBC's is fluid volume overload, which patient would be at risk? - Correct Answer ️️ -68 year old with hx of CHF Transfusion associated transgraft verst post disease- Who is at risk? - Correct Answer ️️ -Someone who is immunocompromised- patient with AIDS Patient who is exhibiting S&S of acute hemolytic transfusion reaction, LPN at bedside would immediately do what action? - Correct Answer ️️ -Stop the blood transfusion Patient has 0+ blood and gets B+ blood, patient has reaction, what is the reaction and expected treatment? - Correct Answer ️️ -Stop the transfusion LPN in the room and has obtained vitals, notices that RN is priming with LR, what action would LPN take? - Correct Answer ️️ -Tell the RN that you only prime blood with NS solution. Patient has IV with albumin, what will LPN care of this patient include? - Correct Answer ️️ -Monitor for crackles and tachycardia Observing new nurse providing phlebotomy, what would require intervention? - Correct Answer ️️ -They take the blood back to nurse's station to label them (should be done prior) During blood collection, nurse notices hematoma. What action would you take? - Correct Answer ️️ -DC collection and apply pressure to site until bleeding stops What symptoms would you expect to observe in a patient that has a citric toxicity (causes hypocalcemia) from a rapid blood transfusion? - Correct Answer ️️ -Positive trousseau sign, Positive Chvostek's sign TACO - Correct Answer ️️ -causes hypertension, severe headache,