NURS 2009- blood and nursing responsibilities Questions
With Complete Solutions
order from health care provider, thorough patient assessment,
monitor carefully during & after
what does transfusing blood as a nurse require?
assessment because of the risk of transfusion reaction
what is critical when transfusing blood and why?
explain procedure, ask if they have had a blood transfusion
before, ensure consent forms have been signed,
predocumentation important
what are some things you should do in the assessment stage of
blood transfusion?
ensure that the right patient is getting the right blood and there
will be no blood incompatibility
the following steps must be done to ensure what?
(1) blood components delivered are the ones ordered
(2) blood delivered is compatible with the blood type
(3) the right patient is receiving the blood
18-20 gauge
what is the preferred catheter size for a blood transfusion?
if it is a small child, because they have smaller veins
when might you use a different size catheter during a blood
transfusion?
, Y-type tube with in-line filter; prime with 0.9% NS only
what tubing should you be using whenever you are giving a
blood transfusion?
30 minutes
you should start the transfusion with in ___ ____ of setting it up
no longer than 4 hours, because bacteria begin to grow after 4
hours
the blood transfusion should go no longer than how long? and
why?
pre-transfusion, 15 minutes in, then hourly, then at the end
when should you be taking vital signs during a blood
transfusion?
the first 15 minutes. You must stay with your patient this whole
time, because usually reactions will occur during this time
what time period is the most critical during a blood transfusion?
and why?
febrile non-hemolytic transfusion reaction
most common type of rxn
-WBC antigen-antibody complex reaction
-fever & chills (sometimes headache and vomiting)
acute hemolytic transfusion reaction
ABO incompatible RBCs in blood
-chest/back pain, hypotension, fever
mild allergic transfusion reaction
With Complete Solutions
order from health care provider, thorough patient assessment,
monitor carefully during & after
what does transfusing blood as a nurse require?
assessment because of the risk of transfusion reaction
what is critical when transfusing blood and why?
explain procedure, ask if they have had a blood transfusion
before, ensure consent forms have been signed,
predocumentation important
what are some things you should do in the assessment stage of
blood transfusion?
ensure that the right patient is getting the right blood and there
will be no blood incompatibility
the following steps must be done to ensure what?
(1) blood components delivered are the ones ordered
(2) blood delivered is compatible with the blood type
(3) the right patient is receiving the blood
18-20 gauge
what is the preferred catheter size for a blood transfusion?
if it is a small child, because they have smaller veins
when might you use a different size catheter during a blood
transfusion?
, Y-type tube with in-line filter; prime with 0.9% NS only
what tubing should you be using whenever you are giving a
blood transfusion?
30 minutes
you should start the transfusion with in ___ ____ of setting it up
no longer than 4 hours, because bacteria begin to grow after 4
hours
the blood transfusion should go no longer than how long? and
why?
pre-transfusion, 15 minutes in, then hourly, then at the end
when should you be taking vital signs during a blood
transfusion?
the first 15 minutes. You must stay with your patient this whole
time, because usually reactions will occur during this time
what time period is the most critical during a blood transfusion?
and why?
febrile non-hemolytic transfusion reaction
most common type of rxn
-WBC antigen-antibody complex reaction
-fever & chills (sometimes headache and vomiting)
acute hemolytic transfusion reaction
ABO incompatible RBCs in blood
-chest/back pain, hypotension, fever
mild allergic transfusion reaction
