A nurse is reviewing the consent form for a blood transfusion for a client. Which of the following risks would the nurse need to explain as part of receiving a blood transfusion? Select all that apply.
While receiving a transfusion of packed red blood cells (PRBCs), a client reports feeling anxious and starts to form a rash on their hands and chest. Which of the following responses by the nurse would be appropriate? Select all that apply.
A nurse has received a unit of blood products from the hospital blood bank. Which of the following items would the nurse check when preparing to administer this product? Select all that apply.
A client with an AB- blood type needs a whole blood transfusion in the emergency department. Which type of blood could this client receive from a donor? Select all that apply.
A nurse has been ordered to administer one unit of packed red blood cells to a client who is in the pre-op holding room. The nurse notes that the client has not signed consent for blood products yet. Which of the following elements must the nurse consider when obtaining informed consent for blood product administration? Select all that apply.
A nurse is administering a blood product to a client in the recovery room. She has explained the procedure and possible complications to the client and obtained consent. She has obtained baseline vital signs and confirmed the client’s identity using two identifiers. She has checked the product and compared it with the identity of the client with another RN. The client has a patent IV and the set is ready to be administered with normal saline solution. The nurse starts the transfusion. Which of the following interventions does the nurse perform next?
Five minutes after the nurse initiates a platelet transfusion for a thrombocytopenic client, another client starts to experience respiratory distress. Which of the following are appropriate responses by the nurse? Select all that apply.
A client with severe blood loss is undergoing a transfusion under the massive transfusion protocol (MTP). The nurse knows that which of the following blood products are not administered during a MTP?
The following CBC lab results are delivered on a client. Which of the following values represents an indication for a transfusion of packed red blood cells (PBRCs)?
After starting a transfusion of packed red blood cells on a client, the nurse notes that the client has developed chills, flank pain, and new hematuria. The nurse suspects an acute hemolytic reaction to the blood. What should the nurse do first?
