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The nurse is inspecting a unit of platelets prior to administering it to the patient. What should the
nurse expect to see? ✔Correct Answer-Appears clear, light pink, or straw in color.
A young female trauma patient requires immediate massive blood transfusion on arrival to the
emergency department. The nurse should administer: ✔Correct Answer-O- whole blood
When preparing to administer red blood cells, the nurse notes that lactated Ringer's solution is
hanging on the patient's intravenous (IV) pole. The most appropriate action before administering the
blood product is to cease administering the lactated Ringer's solution and flush the line with:
✔Correct Answer-Normal saline solution
After transfusion of several units of blood, a patient continues to bleed. What should the nurse
anticipate the health care provider will order? ✔Correct Answer-Platelets
A patient has a low hemoglobin and hematocrit values. The nurse would expect the health care
provider to order a transfusion of which of the following? ✔Correct Answer-RBCs
On inspection, a unit of blood from the blood bank has several blood clots clinging to the bag. What
is the nurse's best course of action? ✔Correct Answer-Notify the blood bank.
A patient has a pretransfusion hemoglobin value of 6 g/dL and a hematocrit value of 18%. Two units
of RBCs are transfused. Four hours after completing the transfusion, what would the nurse expect
the patient's hemoglobin and hematocrit values to be? ✔Correct Answer-Hemoglobin of 8 g/dL
and the hematocrit by 24%
The patient is receiving a unit of whole blood. The patient complains of pain from the surgical site.
The patient has an order for morphine 2 mg IV push every hour as needed. What is the nurse's best
action? ✔Correct Answer-Initiate another IV access and administer the morphine as ordered.
The nurse is initiating a blood transfusion of packed RBCs. At what rate should the infusion initially be
set? ✔Correct Answer-2 mL/min
The nurse initiates a blood transfusion of packed RBCs at 0800. The unit of blood should not hang
beyond: ✔Correct Answer-1200
The nurse obtains the patients vital signs prior to initiating a blood transfusion. The patient's vital
signs are BP 114/78, T 100.3 F, P 88, R 20. What is the nurse's most appropriate action? ✔Correct
Answer-Notify the health care provider of the pretransfusion vital signs.
The nurse initiates a blood transfusion at 0800. When would an acute hemolytic transfusion reaction
most likely occur? ✔Correct Answer-By 0815
A patient who is classified as a universal recipient has what blood type? ✔Correct Answer-AB+