NP1450 Blood Transfusion Therapy

Multiple Choice

What is an indication for transfusion of blood products?

• Blood loss from surgery.

• Blood loss from surgery.

• Blood loss from trauma.

• Illness such as kidney disease or leukemia

• All of the above

Multiple Choice

Which of the following is NOT a common blood component used for transfusion?

• Whole blood

• Fresh frozen plasma (FFP)

• Platelets (thrombocytes)

• Serum

Multiple Choice

Is Informed consent required for the administration of a blood transfusion?

• True

• False

Multiple Choice

A filter is required for blood transfusion tubing

• True

• False

Multiple Choice

A crossmatch band can be removed and replaced if the client finds it uncomfortable.

• True

• False

Multiple Choice

Which of the following statements about Rh antigens is TRUE?

• Rh positive individuals can only receive Rh positive blood.

• Rh negative individuals can only receive Rh positive blood.

• Rh positive individuals can receive both Rh positive and Rh negative blood.

• Rh antigens are not found in red blood cells.

Multiple Choice

Two healthcare professionals are required to identify the client and the blood product before transfusion.

• False

• True

Multiple Choice

During a transfusion, how long should the nurse stay at the patient's bedside to monitor for immediate adverse reactions?

• 5 minutes

• 10 Minutes

• 15 Minutes

• 20 Minutes

Multiple Choice

What is the correct first step if a transfusion reaction is suspected?

• Administer antihistamines

• Call the physician

• Replace the blood with saline

• STOP the transfusion

Immediate Actions for Transfusion Reaction

1. STOP the transfusion.

2. Maintain IV Access: Replace blood with 0.9% Normal Saline, connect to VAD hub.

3. Vital Signs: Complete head-to-toe assessment.

4. Recheck ID: Patient ID band and product label.

5. Physician Orders: Obtain for treatment or resuscitative measures.

6. Verify Information:

• Blood tag matches transfusion blood bag label (ABO, Rh group, donor unit #)

• Client’s hospital ID band

• Client’s cross match/transfusion service ID number

7. Notify Lab:

• Ensure documentation and samples sent to transfusion services.

• Return products and tubing to blood bank.

8. Document: Reaction symptoms in required forms and client’s medical record.

Documentation

Record for Each Transfused Unit:

• Date and infusion start/stop times.
• Type, volume, ID number of blood component/product.
• Identification of administering health professional.
• Identification of second verifier.
• Vital signs and times taken.
• Transfusion reactions and follow-up (including testing).
• Patient teaching provided.
• Patient tolerance of transfusion.