Blood/Blood Product Administration Stokke

22 Questions | By KimW1234 | Updated: Mar 20, 2022 | Attempts: 144

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1.

Plasma contains _______________.
- A.
  
  Clotting factors, electrolytes, and proteins
- B.
  
  Clotting factors 8, 13, and Von Willibrons, and fibrinogen
- C.
  
  Red blood cells
- D.
  
  All of the above
2.

Cryoprecipitate contains _______________.
- A.
  
  Clotting factors, electrolytes, and proteins
- B.
  
  Clotting factors 8, 13, and Von Willibrons, and fibrinogen
- C.
  
  Red blood cells
- D.
  
  All of the above
3.

PRBCs contains _______________.
- A.
  
  Clotting factors, electrolytes, and proteins
- B.
  
  Clotting factors 8, 13, and Von Willibrons, and fibrinogen
- C.
  
  Red blood cells
- D.
  
  All of the above
4.

Plasma is used most often in patients __________________.
- A.
  
  With massive blood loss only
- B.
  
  Who is currently bleeding
- C.
  
  Who needs clotting and/or has protein deficiency
- D.
  
  Who needs clotting only
- E.
  
  Who has anemia
5.

PRBCs is used most often in patients __________________.
- A.
  
  With massive blood loss only
- B.
  
  Who is currently bleeding
- C.
  
  Who needs clotting and/or has protein deficiency
- D.
  
  Who needs clotting only
- E.
  
  Who has anemia
6.

Whole blood is used most often in patients __________________.
- A.
  
  With massive blood loss only
- B.
  
  Who is currently bleeding
- C.
  
  Who needs clotting and/or has protein deficiency
- D.
  
  Who needs clotting only
- E.
  
  Who has anemia
7.

Cryoprecipitate is used most often in patients __________________.
- A.
  
  With massive blood loss only
- B.
  
  Who is currently bleeding
- C.
  
  Who needs clotting and/or has protein deficiency
- D.
  
  Who needs clotting only
- E.
  
  Who has anemia
8.

Platelettes is used most often in patients __________________.
- A.
  
  With massive blood loss only
- B.
  
  Who is currently bleeding
- C.
  
  Who needs clotting and/or has protein deficiency
- D.
  
  Who needs clotting only
- E.
  
  Who has anemia
9.

When giving blood, the first _______ mL should be given over ______ minutes to ensure there is less likely going to be a life-threatening event if the patient has a reaction to the blood.
- A.
  
  30 mL; 20 min
- B.
  
  25 mL; 15 min
- C.
  
  15 mL; 30 min
10.

When giving blood it is important to take vitals _______________________.
- A.
  
  As the blood is READY to enter the patient
- B.
  
  During the transfusion therapy (usually)
- C.
  
  15 minutes after the blood has infused.
- D.
  
  All the above
11.

Cryoprecititate is give __________ over _________ min and is usually ________ mL.
- A.
  
  IV push; 3 min; 10-15 mL
- B.
  
  IVPB; 10 min; 50 mL
- C.
  
  IM; 1 min; 1-2 mL
12.

Cryoprecipitate requires ___________ compatibility.
- A.
  
  ABO
- B.
  
  RH
- C.
  
  All of the above
- D.
  
  None of the above
13.

Plasma requires ___________ compatibility.
- A.
  
  ABO
- B.
  
  RH
- C.
  
  All of the above
- D.
  
  None of the above
14.

Platelettes require ___________ compatibility.
- A.
  
  ABO
- B.
  
  RH
- C.
  
  All of the above
- D.
  
  None of the above
15.

PRBCs require ___________ compatibility.
- A.
  
  ABO
- B.
  
  RH
- C.
  
  All of the above
- D.
  
  None of the above
16.

Whole blood requires ___________ compatibility.
- A.
  
  ABO
- B.
  
  RH
- C.
  
  All of the above
- D.
  
  None of the above
17.

When giving a blood transfusion, which of the following are true?
- A.
  
  Vitals as blood is ready to enter the pt, during (sometimes), and 15 min after conclusion.
- B.
  
  First 25 mL over 15 min to decrease reaction if it occurs
- C.
  
  Two nurses must check the order
- D.
  
  Name, DOB, blood unit #, Blood type of pt and unit all must be checked
- E.
  
  Check blood for discoloration, cloudiness, air bubbles
- F.
  
  Consent form must be signed
- G.
  
  20 gauge or larger needle should be used (except for the elderly)
- H.
  
  Two licensed people have to sign
- I.
  
  1 unit of PACKED cells needs to be used within 1 1/2 - 2 hours.
18.

After therapy is concluded, it is important to document
- A.
  
  Start time
- B.
  
  Stop time
- C.
  
  Reactions
- D.
  
  B and c only
- E.
  
  All of the above
19.

The bag and tubing is disposed of in _____________.
- A.
  
  Hazardous waste
- B.
  
  The normal trash
- C.
  
  Either of the above
20.

If there is a reaction, the FIRST thing a nurse would do is _____________.
- A.
  
  Notify the physician
- B.
  
  Fill out an incident report
- C.
  
  Stop the transfusion
21.

Which of the following is/are important to do in the event of a reaction to the blood therapy? CHECK ALL THAT APPLY.
- A.
  
  Stop the infusion
- B.
  
  Notify the physician
- C.
  
  Notify the blood bank
- D.
  
  Take down the bag and tubing
- E.
  
  Infuse NS 50mL/hr unless ordered otherwise
- F.
  
  Fill out a Suspected Transfusion Reaction Form
- G.
  
  Send bag with remaining blood, tubing, and paperwork to blood bank
- H.
  
  Obtain and send urinalysis to lab (unless blood bank wants it)
- I.
  
  Sentinel event report
- J.
  
  Re-confirm all matches between patient and blood (name, type, etc)
22.

Which of the following are possible S/Sx to a blood transfusion?
- A.
  
  Increase in temperature of more than 1 degree Fahrenheit or 2 deg. Celsius
- B.
  
  Chills
- C.
  
  Diaphoresis
- D.
  
  Lower back pain
- E.
  
  Anxiety
- F.
  
  Nausea and/or vomiting
- G.
  
  Generalized bleeding
- H.
  
  Hemoglobin in urea
- I.
  
  Hypotension
- J.
  
  Anuera
- K.
  
  Wheezing
- L.
  
  Dyspnea
- M.
  
  Bronchospams