(3) Exam 3-❤️ Lab (Blood)

Question 0

Blood & Blood Product Transfusion

What blood type is the universal donor?

Answer 0

O Neg

Question 1

Blood & Blood Product Transfusion

What blood type is a universal recipient?

Answer 1

AB

Question 2

Blood & Blood Product Transfusion
📚 When teaching the patient about autologous transfusions preoperatively, instruct the patient that they can donate up to 450 mL of blood every few days beginning up to how many weeks prior to the surgery?

Answer 2

5 weeks

Question 3

Blood & Blood Product Transfusion
📚 When explaining autologous transfusion, instruct the patient that the last donation should take place at least how long before surgery to allow for equilibrium of blood volume?

Answer 3

48-72 hours

Question 4

Blood & Blood Product Transfusion

When are blood type & screen bracelet and blood allowed to be separated?

Answer 4

When they are both labeled

Question 5

Blood & Blood Product Transfusion

Who must be notified if you move a blood bank bracelet?

Answer 5

You cant move a blood bank bracelet. Blood bank person is the only one that can move blood bank braceltes.

Question 6

Blood & Blood Product Transfusion

💥 One arm of the “Y tubing is for blood and the other arm is primed with what solution?

Answer 6

Saline Solution

Question 7

Blood & Blood Product Transfusion

💥 Why are LR or Dextrose Solution not used to prime “Y” tubing for blood transfusions?

Answer 7

They increase clot formation

Question 8

Blood & Blood Product Transfusion

How long can blood be out of blood bank window after blood is handed off?

Answer 8

4 hours

Question 9

Blood & Blood Product Transfusion
After obtaining blood product from the blood bank, who must check the ID, Blood Type & Rh, Donor #, Patient ID on the blood bag, and the expiration date?

Answer 9

2 RN’s

Question 10

Blood & Blood Product Transfusion

After obtaining blood product from blood bank, what information has to be checked by 2 RN’s?

Answer 10

▪️Make positive ID of donor & recipient
▪️Determine Blood Type/Rh, Donor #, & Patient ID on blood bag
▪️Check expiration date on blood

Question 11

Blood & Blood Product Transfusion

When does the patients transfusion slip become part of their medical record?

Answer 11

When the transfusion is complete. Remains on blood product until transfusion is complete.

Question 12

Blood & Blood Product Transfusion

Blood must be returned to blood bank if it isn’t used within how long after arriving at the nursing unit?

Answer 12

30 mins

Question 13

Blood & Blood Product Transfusion

How long must you remain with a patient after starting a blood transfusion?

Answer 13

15 mins or 50 mL

Question 14

Blood & Blood Product Transfusion

Infusion of blood during the first 15 mins should not exceed how many mL/min?

Answer 14

No greater than 2mL/min

Question 15

Blood & Blood Product Transfusion

During a blood transfusion, the HCP should be notified if the patient has what temperature?

Answer 15

> 101

Question 16

Blood & Blood Product Transfusion
PRBC should not be infused quickly unless in an emergency but other blood components such as fresh frozen plasma and platelets can infuse over how many mins?

Answer 16

15-30 mins

Question 17

Blood & Blood Product Transfusion

💊 What pre-medications are commonly used before blood transfusions?

Answer 17

Benadryl & Tylenol

Question 18

Blood & Blood Product Transfusion

If an acute transfusion reaction occurs, what is the priority intervention after the transfusion has been stopped?

Answer 18

Maintain patient IV with new tubing and new bag of NS

Question 19

Blood & Blood Product Transfusion 
😰 Which manifestations are common with transfusion reactions? (Select all that Apply)😩
1) Hypertension
2) Fever
3) Low Back Pain
4) Flushing
5) Hypertension
6) Tachycardia

Answer 19

1,2,3,4,& 6

Common Manifestations: Chills/Fever, Low Back Pain/Muscle Pain, Flushing, Itching, Vomiting, Anxiety, Tachycardia, Dyspnea, Tachypnea, Hypotension

Question 20

Blood & Blood Product Transfusion

Renal damage is directly proportional to what?

Answer 20

The amount of blood infused