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 C
Explanation
A. Hypertension: Hypertension is not a typical complication of amniocentesis. While it may occur in pregnancy for other reasons, it is not directly related to this procedure and does not require specific post-procedure monitoring in this context.
B. Vomiting: Vomiting is not a common complication following amniocentesis. Nausea or discomfort may occur, but persistent vomiting is not expected and would likely be unrelated to the procedure itself.
C. Contractions: Uterine contractions are a potential complication after amniocentesis, especially in the third trimester. The nurse should monitor for signs of preterm labor, including contractions, cramping, or changes in fetal movement, to intervene promptly if needed.
D. Epigastric pain: Epigastric pain is not commonly associated with amniocentesis. It may indicate other conditions, such as preeclampsia or gastrointestinal issues, but it is not a typical post-procedure complication.
Correct Answer is A
Explanation
A. Clean blood-contaminated surfaces with bleach: HIV can be transmitted through contact with infected blood. Using a bleach solution to disinfect blood-contaminated surfaces effectively kills the virus, making this an essential infection-prevention measure.
B. Buy disposable dishes for daily use: HIV is not transmitted through casual contact or shared dishes, utensils, or food. Encouraging disposable dishes is unnecessary and does not contribute to infection prevention.
C. Wash soiled clothes in cold water: HIV is not transmitted through clothing or laundry. Additionally, washing in cold water is less effective at removing pathogens; hot water with detergent is preferred for general hygiene, but special precautions for HIV are not required.
D. Use condoms with a petroleum-based lubricant: Petroleum-based lubricants can degrade latex condoms, increasing the risk of breakage. Clients should use water-based or silicone-based lubricants with condoms to reduce the risk of HIV transmission.
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