N4 - Test - Blood Transfusions

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Article
http://www.nursingcenter.com/prodev/ce_article.asp?tid=525833
1.
Which of these blood products improves tissue oxygenation?
a. fresh frozen plasma
b. whole blood
c. colloid intravenous solution

2.
Which of these patients is a candidate for a whole blood transfusion?
a. a patient who's at risk for bleeding related to liver disease
b. a pediatric patient with a congenital clotting disorder
c. a newborn with Rh incompatibility

3.
Which of these complications is most closely associated with infusing blood that's been kept at room temperature for 6 hours?
a. infection
b. allergic reaction
c. clotting degradation

4.
Which of these actions should you take when administering whole blood?
a. Assign a staff member to remain with the patient during the entire transfusion.
b. Keep the patient in a supine position.
c. Auscultate the lungs for evidence of fluid overload.

5.
A unit of whole blood is ordered for an elderly patient with congestive heart failure. Which of these infusion rates is appropriate?
a. 4 ml/kg/hour
b. 2 ml/kg/hour
c. 1 ml/kg/hour

6.
Which of these blood products is appropriate for a patient who's had repeated febrile reactions to transfusions?
a. leukocyte-filtered PRBCs
b. random donor packed cells
c. frozen deglycerolized packed cells

7.
A platelet infusion is indicated for a patient who
a. will undergo coronary artery bypass graft surgery tomorrow because of severe coronary artery disease.
b. has immune thrombocytopenic purpura with life-threatening bleeding.
c. received several blood transfusions this week because of hemorrhage.

8.
A patient who takes warfarin (Coumadin) for thrombophlebitis is hemorrhaging after severe trauma. Which of these infusions is appropriate?
a. fresh frozen plasma
b. random donor platelets
c. a crystalloid infusion

9.
When giving a whole blood transfusion, use a line containing
a. Ringer's lactate solution.
b. concentrated dextrose solution.
c. 5% albumin solution.
We are to use 0.9% sodium chloride

10.
How much will a patient's hemoglobin level typically increase after a unit of PRBCs is administered?
a. 1 g/dl
b. 2 g/dl
c. 3 g/dl

11.
Which of these is part of the baseline patient assessment before initiating a transfusion?
a. capillary refill time
b. bowel sounds
c. vital signs

12.
Which of these blood products should you return to the laboratory?
a. a platelet infusion that's a light strawberry color
b. RBCs that appear darker than the bag segments
c. fresh frozen plasma that's a light green color

13.
Check the vital signs of a patient who's receiving a transfusion before starting the transfusion and again
a. in 15 minutes.
b. in 30 minutes.
c. in 1 hour.

14.
Symptoms of acute hemolytic transfusion reaction (AHTR) include
a. hypotension, hematuria, and chills.
b. bradycardia, polyuria, and headache.
c. pallor, dysuria, and abdominal pain.

15.
Which of these actions is appropriate if a patient develops AHTR?
a. Discontinue the blood immediately and hang 0.9% sodium chloride using new tubing.
b. Change the infusion tubing and discard the old line.
c. Clear the transfusion line with a dextrose solution, then restart the transfusion.