Blood Transfusion Therapy Questions And Answers Already Graded A+

Place the following steps for the administration of a unit of packed red blood cells (PRBCs) in the correct order. 1 Verbally compare and correctly verify patient and blood product 2 Check appearance of blood for leaks, bubbles, clots, or purplish color 3 Prepare Y-tubing administration set with 0.9% normal saline solution (NSS) 4 Obtain baseline vital signs - ️️4, 2, 1, 3 A patient with A− blood type needs a blood transfusion. Which blood types are appropriate for the patient to receive? 1 A+ or A− 2 A− or O+ 3 A− or O− 4 A+ or AB- - ️️3 ~ Only negative blood types can be given to a patient with a negative blood type. Which of the following is considered a primary cause of transfusion reactions? ~ Use of 0.9% NSS ~ Use of leukocyte reduction filter ~ Use of mislabeled unit ~ Use of Y tubing - ️️Use of mislabeled unit ~ A mislabeled unit, which is considered a clerical error, is one of the main causes of transfusion reactions. Use of 0.9% NSS, Y tubing, or a leukocyte reduction filter does not cause but rather prevents transfusion reactions. Blood obtained from the blood bank must be used within what time limit? ~ 10 minutes ~ 30 minutes ~ 60 minutes ~ 20 minutes - ️️30 minutes ~ Because of the instability of blood and the controlled environment in which it must be stored, it must be used within 30 minutes or removal from that environment. Deterioration of cell components and accumulation of citrate ions opse risks to the patient. One unit of PRBC can hang no longer than: ~ 3 hours. ~ 1 hour. ~ 2 hours. ~ 4 hours. - ️️4 hours ~ Because of the instability of blood and of the preservatives used (dextrose), blood hanging for longer than 4 hours can become a medium for bacterial growth.To decrease the incidence of Rh antigen transfer between mother and fetus, which medication is administered? ~ Methotrexate ~ Methylprednisone ~ RhoGam ~ Benadryl - ️️RhoGam ~ RhoGam is given IM to the mother. RhoGam can suppress or destroy fetal Rh-positive blood cells that have passed from the fetal to the maternal circulation. Onset of TRALI (transfusion-related acute lung injury) can occur within 6 hours of transfusion. ~ False ~ True - ️️True ~ Onset of TRALI occurs within 6 hours of transfusion of a plasmacontaining product, therefore, monitoring of patients during this critical time is essential. The nurse is preparing a blood transfusion infusion set. Which solution should be used to prime the tubing? 1 0.45% sodium chloride (NS) 2 Dextrose 5% in 0.45% sodium chloride (D5NS) 3 0.9% sodium chloride (normal saline [NS]) 4 Dextrose 5% in 0.9% sodium chloride (D5NS) - ️️3 ~ Normal saline is the only intravenous solution that should be used with blood because of its isotonic quality. Dextrose solutions cause hemolysis of the red blood cells.