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WorksheetsClotting: Disorders and Blood Transfusion Reactions KA
Total questions: 15
Worksheet time: 8mins
Which of the following is included in Virchow’s triad for thrombosis formation?
Dehydration
Endothelial injury
Hypocalcemia
Thrombocytopenia
Which condition increases a client’s risk for venous stasis?
Atrial fibrillation
Prolonged immobility after surgery
Chemotherapy
Trauma from a car accident
Which disorder is caused by widespread clotting and bleeding due to consumption of clotting factors?
Hemophilia
Disseminated intravascular coagulation (DIC)
Thrombocytopenia
Polycythemia vera
A nurse is preparing to administer a unit of packed red blood cells (PRBCs). What is the priority action before starting the transfusion?
Warm the blood to room temperature
Verify client identifiers with another nurse
Prime IV tubing with dextrose solution
Administer a diuretic
A client develops chills, fever, and low back pain 20 minutes into a transfusion. What is the nurse’s first action?
Slow the transfusion rate
Stop the transfusion
Administer acetaminophen
Call the blood bank
Which laboratory result indicates heparin-induced thrombocytopenia (HIT)?
Platelets 250,000/mm³
Platelets 90,000/mm³
INR 2.0
Hemoglobin 12 g/dL
A client with liver failure is at risk for bleeding primarily due to:
Low white blood cell count
Reduced clotting factor production
Increased fibrinogen
Excess platelets
The nurse recognizes which finding as a symptom of pulmonary embolism from DVT?
Pink frothy sputum
Sudden shortness of breath
Slow heart rate
Abdominal distention
Which IV solution is used to prime blood transfusion tubing?
5% dextrose in water
0.9% normal saline
Lactated Ringer’s
Half normal saline
Which sign indicates a mild allergic transfusion reaction?
Fever and chills
Back pain and hematuria
Urticaria and pruritus
Hypertension and bradycardia
Which of the following is characterized by dyspnea, crackles, pulmonary edema, and hypertension after a transfusion?
Anaphylaxis
Fluid overload (TACO)
Hemolytic reaction
Septicemia
Which type of blood product is indicated for a client with severe thrombocytopenia?
Packed red blood cells
Fresh frozen plasma
Platelets
Albumin
A nurse is monitoring a client with hemophilia A. Which treatment should be anticipated for bleeding episodes?
Vitamin K
Fresh frozen plasma
Factor VIII replacement
Platelet infusion
Which lab test monitors the effectiveness of warfarin therapy?
aPTT
INR
Platelet count
D-dimer
The nurse is preparing to give fresh frozen plasma (FFP). What is the therapeutic effect?
Increase hemoglobin
Provide clotting factors
Replace platelets
Increase albumin levels
