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HONDROS COLLEGE OF NURSING
172 Final Exam Hondros term 3 Practice
Questions and Answers (100% Pass)
What gauge needle would we use for donating blood? - Answer✔️✔️-16-18
gauge needle
How long should you scrub the site? Hub? - Answer✔️✔️-Site-30 seconds,
Hub-15 seconds
What is our preferred method used to clean a site or hub? Why? -
Answer✔️✔️-chlorhexidine (lasts 24 hours)
What should you pay attention to using any type of iodine on a patient? -
Answer✔️✔️-allergies to shellfish
Complications - Answer✔️✔️-Hematoma's (contributed to anticoag therapy
or poor technique)
Can we initiate blood? - Answer✔️✔️-Not initiate, but we can verify things
and stop the blood if we suspect a reation to it.
What are the first signs of a reaction to blood product? - Answer✔️✔️-
Restlessness, sob, rash, vitals taking
The first action you do when you see a reaction to blood? - Answer✔️✔️-
STOP the transfusion, not REMOVE it.
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HONDROS COLLEGE OF NURSING
Blood products - Answer✔️✔️-Albumin is a blood expander and can cause
pulmonary edema, increase cardiac output (increase BP), you are at NO
risk for transmitting hepatitis from albumin, acts as a transport for the
protein
Patient who needs to receive packed red blood cells - Answer✔️✔️-admitted
with bright red emesis, heart rate of 120, high pulse low bp, Hgb of 7.8
(usually an Hgb under 9 is a sign of patient being unstable)
Biggest risk of packed RBC's is fluid volume overload, which patient
would be at risk? - Answer✔️✔️-68 year old with hx of CHF
Transfusion associated transgraft verst post disease- Who is at risk? -
Answer✔️✔️-Someone who is immunocompromised- patient with AIDS
Patient who is exhibiting S&S of acute hemolytic transfusion reaction, LPN
at bedside would immediately do what action? - Answer✔️✔️-Stop the
blood transfusion
Patient has 0+ blood and gets B+ blood, patient has reaction, what is the
reaction and expected treatment? - Answer✔️✔️-Stop the transfusion
LPN in the room and has obtained vitals, notices that RN is priming with
LR, what action would LPN take? - Answer✔️✔️-Tell the RN that you only
prime blood with NS solution.
Patient has IV with albumin, what will LPN care of this patient include? -
Answer✔️✔️-Monitor for crackles and tachycardia
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Observing new nurse providing phlebotomy, what would require
intervention? - Answer✔️✔️-They take the blood back to nurse's station to
label them (should be done prior)
During blood collection, nurse notices hematoma. What action would you
take? - Answer✔️✔️-DC collection and apply pressure to site until bleeding
stops
What symptoms would you expect to observe in a patient that has a citric
toxicity (causes hypocalcemia) from a rapid blood transfusion? -
Answer✔️✔️-Positive trousseau sign, Positive Chvostek's sign
TACO - Answer✔️✔️-causes hypertension, severe headache, JVD, Dyspnea,
pink frothy sputum (sputum is on another question, not this one)
Patient getting packed RBC, what are signs that they are having an acute
reaction? - Answer✔️✔️-Chest pain, tachycardia, hypotension (back pain as
well which is not on test)
When inserting IV on elderly adult with fragile veins, which interventions
would you like to implement? - Answer✔️✔️-Placing tourniquet over the
patient's gown, using BP cuff as tourniquet, lowering the angle of approach
into the vein
When inserting IV, it would be important to maintain the patient's safety
by? - Answer✔️✔️-wash hands prior to inserting IV, applying tape or
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