NURS 320 MIDTERM BLOOD ADMIN EXAM
WITH VALIDATED CORRECT ANSWERS.
what she be at the bedside during blood admin - CorreCt Answers -Normal
saline solutin, incase of reaction
take what before calling for blood - CorreCt Answers -baseline vitals
DOUBLE CHECK PATEINT ID AND BLOOD PRODUCT ID DATA WITH
ANOTHER RN OR MD, who can you not check with - CorreCt Answers -
LPN
when do you administer blood - CorreCt Answers -as soon as it gets to the
floor (must be infused with 4 hours)
- because blood will start to breakdown
we never - CorreCt Answers -squeeze blood bag
when do we take vitals when adminsitering blood - CorreCt Answers -
before calling, start of infusion, 15 minutes into infusion
how long do you need to stay with the patient - CorreCt Answers -for first 15
minutes
Administer very ..... for the first 15 minutes - CorreCt Answers -slowly
, Saline (0.9% NaCl) - CorreCt Answers -only solution infused with blood -
isotonic- prevents fluid shifting with RBC's
What do we NOT use for blood admin - CorreCt Answers -DO NOT USE
DEXTROSE OR LR, WILL CAUSE RBC HEMOLYSIS
Do not give any additives (including meds) unless - CorreCt Answers -
cleared with NSS
Post transfusion - CorreCt Answers -take vitals, document, monitor lab
values
nursing responsibilites with blood administration transfusion reactions -
CorreCt Answers -STOP THE INFUSION
- monitior vitals and intake/output
-notify physician, rapid response
- document
- maintain patency of cannula via NSS
acute hemolytic reaction - CorreCt Answers -incompatibility of blood will
occur in just a few mL
-LIFE THREATENING
acute hemolytic reaction signs/symptoms - CorreCt Answers -chills, fever,
LOW BACK PAIN, chest tightness, hypotension, dyspnea, acute kidney
injury, cardiac arrest, death
WITH VALIDATED CORRECT ANSWERS.
what she be at the bedside during blood admin - CorreCt Answers -Normal
saline solutin, incase of reaction
take what before calling for blood - CorreCt Answers -baseline vitals
DOUBLE CHECK PATEINT ID AND BLOOD PRODUCT ID DATA WITH
ANOTHER RN OR MD, who can you not check with - CorreCt Answers -
LPN
when do you administer blood - CorreCt Answers -as soon as it gets to the
floor (must be infused with 4 hours)
- because blood will start to breakdown
we never - CorreCt Answers -squeeze blood bag
when do we take vitals when adminsitering blood - CorreCt Answers -
before calling, start of infusion, 15 minutes into infusion
how long do you need to stay with the patient - CorreCt Answers -for first 15
minutes
Administer very ..... for the first 15 minutes - CorreCt Answers -slowly
, Saline (0.9% NaCl) - CorreCt Answers -only solution infused with blood -
isotonic- prevents fluid shifting with RBC's
What do we NOT use for blood admin - CorreCt Answers -DO NOT USE
DEXTROSE OR LR, WILL CAUSE RBC HEMOLYSIS
Do not give any additives (including meds) unless - CorreCt Answers -
cleared with NSS
Post transfusion - CorreCt Answers -take vitals, document, monitor lab
values
nursing responsibilites with blood administration transfusion reactions -
CorreCt Answers -STOP THE INFUSION
- monitior vitals and intake/output
-notify physician, rapid response
- document
- maintain patency of cannula via NSS
acute hemolytic reaction - CorreCt Answers -incompatibility of blood will
occur in just a few mL
-LIFE THREATENING
acute hemolytic reaction signs/symptoms - CorreCt Answers -chills, fever,
LOW BACK PAIN, chest tightness, hypotension, dyspnea, acute kidney
injury, cardiac arrest, death
