A nurse is preparing to administer a blood transfusion to a patient.
Which of the following actions should the nurse take before starting the transfusion?
"I'll select any available intravenous site for the transfusion.”
"I'll use a blood administration set with additives.”
"I'll verify the physician's order for the specific blood product.”
"I'll administer the transfusion as quickly as possible.”
The Correct Answer is C
"I'll verify the physician's order for the specific blood product."
Choice A rationale:
Selecting any available intravenous site for the transfusion without verifying the physician's order is unsafe and can lead to administering the wrong blood product or causing an adverse reaction in the patient.
Verifying the order is a critical step in ensuring patient safety during a blood transfusion.
Choice B rationale:
Using a blood administration set with additives may be necessary in some cases, but it is not the primary action the nurse should take before starting the transfusion.
Verifying the physician's order is the first and most crucial step.
Choice C rationale:
Verifying the physician's order for the specific blood product is essential to confirm that the correct blood type and unit are being administered to the patient.
This step ensures ABO and Rh compatibility and minimizes the risk of transfusion reactions.
Choice D rationale:
Administering the transfusion as quickly as possible is not appropriate and can be dangerous.
Transfusions should be administered at a controlled and appropriate rate to monitor for any adverse reactions.
Rushing the transfusion can increase the risk of complications.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Oxygen therapy can improve oxygen-carrying capacity but does not directly address chronic anemia due to kidney disease.
Erythropoietin therapy is a more targeted option.
Choice B rationale:
Erythropoietin injections stimulate red blood cell production and can be effective in treating anemia associated with chronic kidney disease.
It is a suitable alternative to blood transfusion in this context.
Choice C rationale:
Volume expanders like lactated Ringer's primarily increase blood volume and circulation but do not address anemia or increase hemoglobin levels.
This option may not be the most appropriate for the client's condition.
Choice D rationale:
Iron therapy is generally used to treat iron deficiency anemia, but it may not be the most effective option for anemia related to chronic kidney disease, as it does not address the underlying cause.
Erythropoietin therapy is a more targeted approach.
Correct Answer is C
Explanation
Choice A rationale:
Oxygen therapy is not a medication used to promote clotting or stop bleeding.
Its primary purpose is to improve oxygen delivery to tissues, especially in cases of hypoxia.
Choice B rationale:
Erythropoietin injections are used to stimulate red blood cell production in conditions like anemia.
While it can indirectly help improve oxygen-carrying capacity, it does not promote clotting or stop bleeding.
Choice C rationale:
Hemostatic agents like vitamin K or tranexamic acid can help promote clotting and stop bleeding.
Vitamin K is essential for the synthesis of clotting factors in the liver, while tranexamic acid is an antifibrinolytic agent that prevents the breakdown of clots.
These medications are often used in bleeding disorders to control hemorrhage.
Choice D rationale:
Iron therapy is used to treat iron-deficiency anemia and increase hemoglobin levels.
It does not have a direct role in promoting clotting or stopping bleeding.
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