And Answers Graded A+ 2025 Edition.
when do you give packed RBCs - Answer low hemoglobin and hematocrit, symptomatic (dizzy,
low BP when stand, high HR) and hgb under 9
when do you give platelets - Answer low platelets
when do you give fresh frozen plasma - Answer when there is a clotting problem, to expand
volume
when do you give albumin - Answer to expand or maintain vascular volume
what do you use when mixing medicines - Answer laminar flow hood to decrease risk of
bacteria
what medicine can never be given IV push - Answer potassium chloride bc it will stop heart
(lethal)
IV bolus - Answer can be hung in a piggyback and needs to be given over a period of time
longer than 5 min
IV push - Answer medication pushed over 5 min or less
which bag hangs higher? - Answer secondary set hangs higher
best time to changes IV tubing - Answer when you are changing the bag
how often do you change TPN tubing - Answer q24 hr bc of dextrose concentration
what size needle is needed for blood products - Answer 18 gauge
, how many nurses does it take to verify a blood product at the bedside - Answer 2
one nurse at the bedside - Answer must be an RN
how fast do you give platelets - Answer rapidly bc they are fragile
nursing interventions for transfusion reaction - Answer *STOP THE TRANSFUSION, start new
line of IV fluids with existing IV site (don't d/c IV until other IV site is accessed)*
febrile reaction symptoms - Answer fever, sudden onset of chills, headache
hemolytic reaction symptoms and nursing interventions - Answer anxiety, inc HR and RR, back
pain, low BP, blood in urine
why is it not recommended to have a basal rate or continuous rate of demerol? - Answer
patient can build up metabolites and have seizures
basal dose (PCA) - Answer usually based on weight, is an hourly rate patient receives whether
they push the button or not
PCA dose - Answer what the patient receives when they push the button
why are benadryl and tylenol given pre transfusion - Answer prevent allergic reaction
how fast do you give plasma - Answer slowly bc it is viscous
when you need to give meds, fluids, and blood - Answer blood in one line, meds and fluids in
another
if there is an extension set - Answer aspirate as much blood as possible
what can't you do when you have a PCA - Answer smoke, receive other narcotics