ATI Blood Administration Test

1. A nurse is caring for a client who is about to receive a unit of packed RBC’s and states, “This is my third unit of blood today. I don’t want to get some disease from all this blood.” Which of the following responses should the nurse make? a. It is impossible for you to get an infection from donor blood b. Donated blood is carefully screened for infectious diseases c. The U.S. blood supply is among the safest in the world d. Why not ask your doctor about other treatment options Answer: b 2. A nurse is preparing to initiate the transfusion of a unit of packed RBC’s to a client. After the unit of blood has arrived, which of the following procedures will help the nurse protect the client against the possibility of a blood group incompatibility? a. Comparing the ID numbers on the blood unit with those on the order form and the client’s wristband b. Obtaining a blood sample from the client for typing and crossmatching c. Giving a prescribed pre-medication 30 minutes prior to starting the transfusion d. Observing the client for 15-30 minutes after the transfusion is initiated Answer: a 3. A nurse is caring for a client who is receiving a blood transfusion and reports itching. The nurse observes areas of urticaria on the client’s skin. Which of the following actions should the nurse take? a. Administer prescribed antipyretic b. Stop the blood transfusion c. Reevaluate the client in 15 minutes d. Apply a warm compress to the affected areas Answer: b 4. Which of the following actions should a nurse take prior to starting a blood transfusion? a. Establish intravenous access with a 22 gauge needle b. Prime an infusion set with lactated Ringer’s solution c. Ensure that informed consent has been obtained from the client d. Suggest that the client consider autologous transfusion Answer: c 5. A platelet transfusion is indicated for a patient who a. Has a systemic infection b. Has thrombocytopenia c. Is in hypovolemic shock d. Has hemolytic anemia Answer: b