A nurse is preparing to administer a blood transfusion to a patient.
What should the nurse consider when selecting an intravenous site for the transfusion?
"I'll choose a site with infiltration or phlebitis.”
"I'll use the same IV line for other medications.”
"I'll avoid using sites with edema or infection.”
"I'll use a 24-gauge IV catheter for the transfusion.”
The Correct Answer is C
Choice A rationale:
Choosing a site with infiltration or phlebitis is not appropriate for a blood transfusion.
Infiltration can lead to the transfused blood leaking into the surrounding tissues, and phlebitis can cause discomfort and complications.
A suitable site should be chosen for the transfusion.
Choice B rationale:
Using the same IV line for other medications without flushing it between medications can lead to drug interactions or contamination.
It is generally not recommended to mix blood transfusions with other medications in the same line.
Choice C rationale:
Avoiding sites with edema or infection is a crucial consideration when selecting an intravenous site for a blood transfusion.
Using a site with edema can make it difficult to insert the catheter, and using a site with infection can introduce pathogens into the bloodstream.
Choice D rationale:
Using a 24-gauge IV catheter for a blood transfusion may not be suitable for all patients.
The size of the catheter should be appropriate for the type of blood product being transfused and the patient's vein size.
A larger catheter may be necessary for blood products with higher viscosity.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Whole blood.
Rationale: Whole blood contains red blood cells, plasma, platelets, and other components.
It is typically used for patients with significant blood loss or when multiple blood components need to be replaced.
However, in this case, the patient is specifically experiencing thrombocytopenia, which means a low platelet count.
Administering whole blood would not be the most appropriate choice because it does not provide a concentrated dose of platelets, which is what the patient needs.
Choice B rationale:
Packed red blood cells (PRBCs)
Rationale: Packed red blood cells are primarily used to increase oxygen-carrying capacity in patients with anemia or significant blood loss.
They do not contain a sufficient quantity of platelets to address thrombocytopenia, so this is not the correct choice for the patient in question.
Choice C rationale:
Fresh frozen plasma (FFP)
Rationale: Fresh frozen plasma is rich in clotting factors and is used to treat bleeding disorders or clotting factor deficiencies.
While it can be a valuable component in some cases, it does not directly increase platelet counts.
Therefore, it is not the most appropriate choice for a patient with thrombocytopenia.
Choice D rationale:
Platelets.
Rationale: Platelets are the correct choice for a patient with thrombocytopenia.
Platelet transfusion provides a concentrated dose of platelets, which can help increase the patient's platelet count and improve clotting ability.
It directly addresses the underlying issue in thrombocytopenia, making it the most suitable option.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
A+ blood can be safely transfused to a client with blood type O-.
The rationale is that the recipient, in this case, does not have antibodies against the A antigen, which is present on A+ blood.
Therefore, there is no antigen-antibody reaction.
Choice B rationale:
B- blood can be safely transfused to a client with blood type O-.
The rationale is similar to choice A, as the recipient does not have antibodies against the B antigen, which is present on B- blood.
Choice C rationale:
AB+ blood contains both A and B antigens and RhD antigen, which can potentially react with antibodies present in a client with blood type O-.
Therefore, it is not safe to transfuse AB+ blood to a client with blood type O-.
Choice D rationale:
O+ blood can be safely transfused to a client with blood type O-.
The rationale is that O+ blood does not have A or B antigens, which could react with antibodies present in the recipient.
Choice E rationale:
O- blood is compatible with blood type O- because it does not contain A, B, or RhD antigens, which could be targeted by antibodies in the recipient.
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