NEW
Font size
Worksheets340 final review
Total questions: 20
Worksheet time: 10mins
You're providing care to a 36 year old male. The patient experienced abdominal trauma and recently received 2 units of packed red blood cells. You're assessing the patient's morning lab results. Which lab result below demonstrates that the blood transfusion was successful?
A. Hemoglobin level 7 g/dL
B. Platelets 300,000 µl
C. Hemoglobin level 15 g/dL
D. Prothrombin Time 12.5 seconds
What blood type is known as the “universal donor”?
A. Type A
B. Type B
C. Type AB
D. Type O
What blood type is known as the “universal recipient”?
A. Type A
B. Type B
C. Type AB
D. Type O
As the nurse you know that there is a risk of a transfusion reaction during the administration of red blood cells. Which patient below it is at most RISK for a febrile (non-hemolytic) transfusion reaction?
A. A 38 year old male who has received multiple blood transfusions in the past year.
B. A 42 year old female who is immunocompromised.
C. A 78 year old male who is B+ that just received AB+ blood during a transfusion.
D. A 25 year old female who is AB+ and just received B+ blood.
Your patient is having a transfusion reaction. You immediately stop the transfusion. Next you will:
A. Notify the physician.
B. Disconnect the blood tubing from the IV site and replace it with a new IV tubing set-up and keep the vein open with normal saline 0.9%.
C. Collect urine sample.
D. Send the blood tubing and bag to the blood bank.
A patient with O+ blood received A+ blood. The patient is at risk for?
A. Febrile transfusion reaction
B. None: O+ and A+ are compatible blood types
C. Hemolytic transfusion reaction
D. Allergic transfusion reaction
What solution or solutions below are compatible with red blood cells?
A. Normal Saline
B. Dextrose Solutions
C. Any medications with normal saline
D. No solutions are compatible with blood
A patient started receiving their first unit of blood at 1000. It is now 1010 and the patient is reporting itching, chills, and a headache. In addition, the patient's temperature is now 99.8'F from 98'F. Your next nursing action is:
A. Stop the transfusion
B. Notify the physician
C. Decrease the rate of the transfusion
D. Reassure the patient that this is normal and will resolve in 30 minutes.
You're gathering supplies to start a blood transfusion. You will gather?
A. PVC free tubing and dextrose
B. Polyethylene-line tubing and 0.9% Normal Saline
C. Y-tubing with in-line filter and dextrose
D. Y-tubing with in-line and 0.9% Normal Saline
A patient who needs a unit of packed red blood cells is ordered by the physician to be premeditated with oral diphenhydramine and acetaminophen. You will administer these medications?
A. 15 minutes before starting the transfusion
B. Immediately after starting the transfusion
C. Right before starting the transfusion
D. 30 minutes before starting the transfusion
To help prevent embolization of the thrombus in a patient with VTE, the nurse teaches the patient to do what?
A. dangle the feet over the edge of the bed q2-3hr
B. ambulate for short periods three to four times a day
C. keep the affected leg elevated above the level of the heart
D. maintain bed rest until edema is relieved and anticoagulation is established
A patient at the highest risk for venous thromboembolism, VTE, is:
A. a 62 year old man with spider veins who is having arthroscopic knee surgery
B. a 32 year old woman who smokes, takes oral contraceptives, and is planning a trip to Europe
C. a 26 year old woman who is 3 days postpartum and received maintenance IV fluid for 12 hours during her labor
D. an active 72 year old man at home recovering from transuerthral resection of the prostate for benign prostatic hyperplasia
The nurse has initiated discharge teaching for a patient who is to be maintained on warfarin (Coumadin) following hospitalization for venous thromboembolism (VTE). The nurse determines that additional teaching is needed when the patient says,
A. "I should reduce the amount of green, leafy vegetables that I eat."
B. "I should wear a Medic Alert bracelet stating that I take Coumadin."
C. "I will need to have blood tests routinely to monitor the effects of the Coumadin."
D. "I will check with my health care provider before I begin or stop any medication."
A 72 yr old male client has a total hip replacement for long-standing degenerative bone disease of the hip. When assessing this client postoperatively, the nurse considers that the most common complication of hip surgery is:
A. Pneumonia
B. Hemorrhage
C. Wound Infection
D. Pulmonary Embolism
The nurse is caring for a patient with a recent history of deep vein thrombosis (DVT). The patient now needs to undergo surgery for appendicitis. The nurse is reviewing the laboratory results for this patient before administering an ordered dose of vitamin K. The nurse determines that the medication is both safe to give and is most needed when the international normalized ratio (INR) is which result?
1.0
1.2
1.6
2.2
A nurse is caring for a patient with a diagnosis of deep venous thrombosis (DVT). The patient has an order to receive 30 mg enoxaparin (Lovenox). Which injection site should the nurse use to administer this medication safely?
Buttock, upper outer quadrant
Abdomen, anterior-lateral aspect
Back of the arm, 2 inches away from a mole
Anterolateral thigh, with no scar tissue nearby
The nurse is caring for a patient who has been receiving warfarin (Coumadin) and digoxin (Lanoxin) as treatment for atrial fibrillation. Because the warfarin has been discontinued before surgery, the nurse should diligently assess the patient for which complication early in the postoperative period until the medication is resumed?
Decreased cardiac output
Increased blood pressure
Cerebral or pulmonary emboli
Excessive bleeding from incision or IV sites
The nurse would determine that a postoperative patient is not receiving the beneficial effects of enoxaparin (Lovenox) after noting what during a routine shift assessment?
Generalized weakness and fatigue
Crackles bilaterally in the lung bases
Pain and swelling in lower extremity
Abdominal pain with decreased bowel sounds
What is not a part of Virchow's triad
hypercoagulability
endothelial injuty
stasis of blood flow
hypocoagulability
A patient at the clinic says, "I have always taken an evening walk, but lately my leg cramps and hurts after just a few minutes of walking. The pain goes away after I stop walking, though." The nurse should
A. attempt to palpate the dorsalis pedis and posterior tibial pulses.
B. check for the presence of tortuous veins bilaterally on the legs.
C. ask about any skin color changes that occur in response to cold.
D. assess for unilateral swelling, redness, and tenderness of either leg.
