A client has an order for one unit of packed cells. What is a correct nursing action in the administration of this product?
Ensure the blood is spiked with primary tubing and the saline with secondary tubing,
Start a 24 gauge IV in a large peripheral vein.
Keep the line open with the saline from the blood tubing in the event of a reaction.
Initiate the transfusion within half an hour of receiving the blood.
The Correct Answer is D
A. Blood should be administered with a Y-tubing set that has normal saline as the only compatible fluid.
B. A 24-gauge IV is too small; at least an 18- or 20-gauge IV is recommended for blood administration.
C. If a transfusion reaction occurs, the line should be discontinued, and the normal saline should not be used to flush the remaining blood.
D. Blood transfusions must be initiated within 30 minutes of receipt from the blood bank to reduce the risk of bacterial contamination.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Blood should be administered with a Y-tubing set that has normal saline as the only compatible fluid.
B. A 24-gauge IV is too small; at least an 18- or 20-gauge IV is recommended for blood administration.
C. If a transfusion reaction occurs, the line should be discontinued, and the normal saline should not be used to flush the remaining blood.
D. Blood transfusions must be initiated within 30 minutes of receipt from the blood bank to reduce the risk of bacterial contamination.
Correct Answer is ["B","C","D"]
Explanation
A. ELISA – Used for detecting infections or immune conditions but is not specific for anemia.
B. Schilling Test – Used to diagnose vitamin B12 deficiency and pernicious anemia.
C. Hemoglobin Electrophoresis – Used to diagnose sickle cell anemia and thalassemias by identifying abnormal hemoglobin variants.
D. Western Blot – Used to confirm infections like HIV, not to diagnose anemia.
E. Ferritin and Total Iron-Binding Capacity (TIBC) – Help assess iron status and diagnose iron deficiency anemia.
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