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The patient is scheduled to receive a blood transfusion.Preadministration laboratory tests are run to assess the level of which component in the patient's blood?


A) Sodium ( Na )
B) Calcium ( Ca )
C) Potassium ( K )
D) Iron ( Fe )

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The patient is receiving blood when he suddenly complains of low back pain and develops diaphoresis and chills.The nurse should: (Select all that apply.)


A) stop the transfusion.
B) start normal saline connected to the Y tubing.
C) notify the physician.
D) start normal saline using new IV tubing.

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Transfusion therapy is the intravenous ( IV ) administration of which of the following? (Select all that apply.)


A) Whole blood
B) Plasma products
C) Red blood cells ( RBCs )
D) Platelets
E) None of above

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The patient is brought to the emergency department after a motor vehicle accident and has lost a large volume of blood.The patient's blood type is AB.Which blood type may this patient safely receive in transfusion?


A) Only type AB blood
B) Only type O blood
C) All blood types
D) Only type A blood

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Antibodies that react against the A and B antigens are naturally present in the plasma of people whose red blood cells do not carry the antigen.These antibodies react against the foreign antigens.Incompatible red blood cells clump together or _____________, which results in a life-threatening hemolytic transfusion reaction.

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agglutinate
Antibodies that react agains...

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The patient is to receive 2 units of packed RBCs.Before administering the blood, what does the nurse need to do? (Select all that apply.)


A) Insert an 18-gauge IV cannula.
B) Have the patient complete a consent form.
C) Obtain pretransfusion vital signs.
D) Notify the physician for a temperature of 37° C.

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The patient has received blood within the past 6 hours.The patient begins to feel short of breath and calls for the nurse.The nurse finds that the patient is dusky in color with crackles throughout his lungs and is coughing up pink frothy sputum.The nurse calls the physician immediately, knowing that the patient is showing signs of _________________.

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transfusion-related acute lung injury (T...

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The patient is to receive 2 units of packed RBCs.The units are cold, and the nurse is concerned that this could lead to dysrhythmias and/or a reduction in core temperature.What action may the nurse take to prevent this?


A) Warm the blood in a microwave.
B) Warm the blood using hot water.
C) Warm the blood using a blood warmer.
D) Allow the blood to warm to room temperature before administering.

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The patient has been home from the hospital for 10 days.On the last day of his hospitalization, he received 2 units of packed RBCs.This morning, he noticed that his skin had a yellow tint to it and his temperature was elevated.Which reaction might this patient be experiencing?


A) Delayed hemolytic transfusion reaction
B) Acute hemolytic transfusion reaction
C) Nonhemolytic febrile reaction
D) Severe allergic transfusion reaction

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