Blood Transfusion

Multiple Choice

Which of the following conditions is NOT a common indication for blood transfusions?

• Sickle cell anemia

• Vitamin deficiency

• Chronic kidney disease (CKD)

• Hypertension

Multiple Choice

Which of the following is a risk associated with blood transfusions?

• Transfusion reaction

• Dehydration

• Hypertension

• Diabetes

Multiple Choice

A client has refused an ordered blood transfusion, what is the nurse's best response?

• "You have the right to refuse, I will notify the provider."

• "The transfusion is an important part of your plan of care, can you tell me the reason for your refusal?"

• "Without this transfusion, it is likely you will die."

• "The provider will fire you as a patient if you refuse her orders."

Multiple Select

Which of the following actions are part of the nursing process before and during a blood transfusion?

• Obtain consent

• Check baseline vital signs

• Check BP and HR after first 15 minutes

• Administer antibiotics

Multiple Choice

Which blood type can be given to anyone?

• O-

• O+

• AB+

• B-

Multiple Choice

Which type of acute blood transfusion reaction is the most common?

• Acute hemolytic reaction

• Febrile, nonhemolytic reaction

• Mild allergic reaction

• Sepsis

Fill in the Blanks

A transfusion reaction that occurs within the first 15 minutes and is due to ABO incompatibility is most likely to be an acute

reaction.

Multiple Choice

Which of the following is a key difference between a mild allergic reaction and an anaphylactic reaction to a blood transfusion?

• Mild allergic reactions are life threatening, while anaphylactic reactions are not.

• Mild allergic reactions can be treated with epinephrine, while anaphylactic reactions cannot.

• Anaphylactic reactions are life threatening and require epinephrine, while mild allergic reactions are not life threatening and can be treated with antihistamines and steroids.

• Both reactions allow for the transfusion to be restarted after treatment.

Multiple Select

Which of the following are symptoms of TRALI (Transfusion Related Acute Lung Injury)?

• Fever

• Noncardiogenic pulmonary edema

• Hypoxemia

• Abdominal pain

Multiple Choice

What is the first step in the nursing management that should be taken immediately after a transfusion reaction is suspected.

• Administer eprinephrine

• Obtain baseline vital signs

• Notify the provider

• Stop the transfusion