A nurse is planning to perform a blood transfusion for a client. Which of the following actions should the nurse plan to take? (Select all that apply.)
Transfuse the blood product within 5 hr after removing it from refrigeration.
Check the expiration date of the blood product with a second nurse.
Prime the blood tubing with dextrose 5% in water.
Check vital signs before transfusion.
E. Insert an IV with a 19-gauge needle.
Correct Answer : B,D
A second person is important to check expiry date to avoid transfusion of expired product. Vital signs are also important as a baseline of client’s condition
A. Blood products have different time frames depending on the protocol
C. Priming should be done with normal saline
E. The needle gauge depending on client’s veins caliber
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Aptt is sensitive to heparin and hence use to monitor the therapeutic effects. This helps to ensure that the drug exert if therapeutic effects with increasing the risk of bleeding due to overdose.
A. Bleeding times is a test used to screen for bleeding disorders
B and D are not used for monitoring
Correct Answer is C
Explanation
C. Heparin is an indirect thrombin inhibitor that prevents clot formation. It does not dissolve existing clots.
A. The onset of action of heparin is immediate
B. The oral anticoagulants also don’t dissolve the clot
D. The nurse should also understand the pharmacology of the drugs she or he is administering.
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