You are planning on transfusing a unit of blood. Which of the following are appropriate measures to take? (Select all that apply)

Ensure that patients with AB+ blood type only receive blood from AB type donors

Finish transfusing PRBC's within 2 hours

Remain with the patient during the first 15 minutes of the infusion

Double check the blood product against the patient blood band with another RN

Prime blood tubing with normal saline (NS)

Answer and Explanation

Correct Answer : B,C,D,E

A.   Individuals with AB+ blood type can receive blood from any donor type (A, B, AB, or O) because they have no antibodies against A or B antigens. The safest practice is to provide the most compatible blood type, but AB+ recipients are considered universal recipients.
B.   To minimize the risk of bacterial growth and transfusion reactions, packed red blood cells (PRBCs) should be transfused within 2 hours of starting the infusion. It’s important to monitor the patient closely during this time.
C.   The first 15 minutes of a blood transfusion are critical for observing any immediate adverse reactions. The nurse should stay with the patient during this time to monitor vital signs and assess for any signs of a transfusion reaction.
D.   A crucial safety step is to verify the blood product against the patient’s blood band with another registered nurse (RN). This helps prevent errors related to mismatched blood transfusions, which can be life-threatening.
E.   Blood transfusion tubing should be primed with normal saline to ensure that the blood product flows properly and to maintain patency. Normal saline is used because it is compatible with blood products and does not cause hemolysis.

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Correct Answer is B

Explanation

A. While taking a multivitamin can provide additional nutrients, it is generally not a cause for concern unless the multivitamin contains high doses of certain minerals that might interact negatively with iron absorption. However, this is less pressing compared to the interaction between antacids and iron.
B. Antacids can significantly interfere with the absorption of oral iron supplements, leading to inadequate treatment of iron deficiency anemia. This is the most concerning finding because it may negate the effectiveness of the iron supplementation, making it harder for the patient to improve their iron levels.
C. Black stools are a common and expected side effect of iron supplementation due to the presence of unabsorbed iron in the gastrointestinal tract. While the nurse should monitor for this, it is not inherently concerning as it indicates that the iron is being ingested.
D. Constipation is a common side effect of iron supplements. Although it can be uncomfortable, it is not as critical as the potential interference caused by taking antacids. Management strategies can often alleviate this side effect.

A. 30 minutes B. 90 minutes C. 15 minutes D. 60 minutes

Correct Answer is C

Explanation

A. This is incorrect because the time limit is shorter than 30 minutes.
B. This is also incorrect. You need to start the transfusion sooner than this timeframe.
C. You should start the transfusion within 15 minutes after the blood product is issued from the blood bank. This guideline is critical to minimize the risk of bacterial growth and ensure the safety of the transfusion.
D. The time limit is shorter than 60 minutes, emphasizing the urgency in starting the transfusion to maintain the integrity of the blood product.

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You are planning on transfusing a unit of blood. Which of the following are appropriate measures to take? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient with iron deficiency anemia who is taking oral iron supplements is evaluated by the nurse in the outpatient clinic. Which finding by the nurse is of MOST concern?

Correct Answer is B

Explanation

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Correct Answer is C

Explanation

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