A nurse is preparing to administer an autologous blood product to a client. Which of the following actions should the nurse take to identify the client?
Confirm the provider's prescription matches the number on the blood component.
Match the client's blood type with the type and cross match specimen.
Ask the client to state his blood type and the date of the blood donation.
Ensure that the client's identification and matches the number on the blood unit.
The Correct Answer is D
A. Confirm the provider's prescription matches the number on the blood component: While verifying the provider’s prescription is important, it does not confirm the identity of the client receiving the blood. Client identification must be confirmed directly at the bedside.
B. Match the client's blood type with the type and cross match specimen: Verifying blood type compatibility is essential for transfusion safety, but it does not replace proper client identification. Misidentification could still occur if other verification steps are skipped.
C. Ask the client to state his blood type and the date of the blood donation: Clients may not reliably recall these details, and relying solely on self-report is unsafe. Proper identification requires objective verification using official identification methods.
D. Ensure that the client's identification matches the number on the blood unit: Correct client identification is achieved by comparing the client’s ID band information with the blood unit number and labels. This step is the primary safeguard to prevent transfusion errors and ensure the right client receives the correct blood product.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "This test should be performed after your baby is 24 hours old.": Newborn genetic screening is ideally performed after 24 hours of life to ensure accurate detection of metabolic and endocrine disorders. Performing the test too early can result in false-negative results due to insufficient accumulation of metabolites in the blood.
B. "A nurse will draw blood from your baby's inner elbow.": Newborn screening is typically performed via a heel stick, not from the inner elbow. The lateral or plantar aspect of the heel provides safe access to capillary blood for accurate testing.
C. "Your baby will be given 2 ounces of water to drink prior to the test.": Newborns are not given water prior to screening. Water administration is unnecessary and could be harmful, as infants should receive breast milk or formula to meet hydration needs.
D. "This test will be repeated when your baby is 2 months old.": While some repeat testing may occur if initial results are inconclusive, routine newborn genetic screening is performed once after 24 hours of life, not automatically repeated at 2 months.
Correct Answer is C
Explanation
A. "You did the right thing by bringing your partner in for treatment.": While supportive, this statement provides reassurance rather than facilitating expression of feelings or exploration of the partner’s experience. Therapeutic communication focuses on encouraging dialogue and understanding.
B. "Why do you think your partner's symptoms are progressing so quickly?": Asking “why” can come across as judgmental and may make the partner defensive. It does not encourage open discussion about feelings or experiences, which is central to therapeutic interaction.
C. "Can you talk about what was happening with your partner at home?": This open-ended statement encourages the partner to describe observations and feelings, promoting emotional expression and building rapport. It facilitates assessment of the home environment and caregiving challenges, which is essential in planning support.
D. "You should make sure your partner takes the prescribed medication.": This directive focuses on compliance rather than exploring the partner’s emotional state or providing support. It does not address the partner’s immediate feelings of overwhelm and uncertainty.
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