Blood Administration

This is a quiz to determine if the objectives for blood administration were adequately met.

published on February 01, 201513 responses 0 5.0★ / 5

As the nurse you anticipate that your patient will be needing packed red blood cells today. What needs to happen prior to you actually administering the blood?

Type and cross ordered, consent completed, and IV patent
2 units of blood on hold, consent obtained, and IV patent
Blood transfusion order entered, consent obtained, IV patent
Blood transfusion order entered, consent obtained, IV infiltrated

Correctly identify the steps for blood administration.

Prime tubing, double check blood with patient and paperwork
Obtain vital signs, prime tubing, double check blood with patient and paperwork, obtain vitals at 15 minutes and one hour after starting blood
Obtain vital signs, prime tubing, double check blood with patient and paperwork
Obtain vital signs double check blood with patient and paperwork, continue vital signs at 15 minutes and one hour after starting blood

Which scenario indicates a blood reaction? Starting vitals are 155/80, 18 respirations, 75 heart rate, and 98F temperature.

The patient is shaking and complaining of being cold, but face is flushed. Vitals are 130/80, 20 respirations, 70 heart rate, and temperature of 100.1F.
The patient notices bruising on her legs. Vitals are 160/80, 20 respirations, 80 heart rate, and temperature was 99F.
The patient experiences a coughing spell and dry throat. Vitals are 150/80, 18 respirations, 70 heart rate, and 97F temperature.
The experiences abdominal pain and voiding pale yellow. Vitals 120/60, 18 respirations, 60 heart rate, and 98F temperature.

In which case is a blood transfusion not indicated?

A mother delivers her newborn and is struggling to deliver the placenta. She continues to hemorrhage blood.
Patient comes in with chronic anemia and a hemoglobin of 6.5
Patient has a positive hemoccult. Hemoglobin 4 hours ago was 9 and it is now 7.
Patient is having surgery in the morning and hemoglobin is 10.

When giving blood there are three types of reactions that can occur: allergic, febrile, or hemolytic. It is important to always stop the transfusion immediately when questioning a reaction. Please correctly identify the symptoms for a hemolytic reaction.

Fever, tachycardia, chest pain, back pain, and hemoglobulinuria
Headache, tachycardia, fever, chills, increased respiratory rate, anxiety
Facial flushing, hives, wheezing, decreased blood pressure