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How long should the nurse stay with the patient after initiating a blood transfusion?

A young female trauma patient requires immediate massive blood transfusion on arrival to the emergency department. The nurse should administer:

On inspection, a unit of blood from the blood bank has several blood clots clinging to the bag. What is the nurse’s best course of action?

Which of the following would be one of the first signs of an adverse reaction to a blood transfusion?

The nurse initiates a blood transfusion and monitors the patient for signs of a transfusion reaction. Five minutes into the transfusion, which would be cause for concern?

The nurse checks the health care provider’s orders to determine if there are any pretransfusion medications to be administered. Which of the following would the nurse most likely expect to administer?

The nurse initiates a blood transfusion at 0800. When would an acute hemolytic transfusion reaction most likely occur?

The nurse initiates a blood transfusion of packed RBCs at 0800. The unit of blood should not hang beyond:

The nurse obtains the patient’s vital signs prior to initiating a blood transfusion. The patient’s vital signs are B/P 114/78, T 100.3 °F, P 88, R 20. What is the nurse’s most appropriate action?

  SECTION C – True or False     Réponds à toutes les questions. (5)