Question

A. The nurse must be knowledgeable about the fact that this client has A and B agglutinins and lacks the Rh factor B. The nurse must be knowledgeable about the fact that this client has B and O agglutinins and lacks the Rh factor C. The nurse must be knowledgeable about the fact that this client has B agglutinins and lacks the Rh factor D. The nurse must be knowledgeable about the fact that this client has A agglutinins and lacks the Rhe factor 9. Select the complication of a blood transfusion that is accurately paired with its preventive measure. A. Hemolysis: Typing and cross matching the blood and checking for ABO compatibility prior to administration B. Hemolysis: Insuring that the client does not have a prior history of hemolysis in the past C. Febrile reactions: Insuring that the client does not have a prior history of hemolysis in the past D. Febrile reactions: Typing and cross matching the blood and checking for ABO compatibility prior to administration 10. You will be administering packed red blood cells to your client. Which of the following principles should you apply to this blood administration? A. you must insure that the client has a patent intravenous catheter that is at least 20 gauge. B. You will need the help of another nurse prior to the administration of these packed red blood cells C. The unit of packed red blood cells should start no more than 1 hour after it is picked up. D. You must remain with and monitor the client for at least 30 minutes after the transfusion begin 11. You are caring for a multiple trauma client who has just arrived at the emergency room with a number of other external disaster victims. This client has multiple blast injuries and hypovolemic shock; it is anticipated that this unstable critically injured and unconscious client will have long term intravenous therapy, blood products and possibly hyperalimentation as well. Which type of venous access would you most likely anticipate for this client? A.A percutaneous, non tunneled subclavian catheter B.A peripheral intravenous catheter that is 20 gauge C.A multi lumen implanted tunneled and cuffed central venous catheter D.A peripherally inserted central venous catheter

Answer 1

Answer:

9. A ) Hemolysis : Typing and cross matching the blood and checking for ABO compatibility prior to administration.

Reason: Hemolysis can prevented by typing and cross matching the blood and checking for ABO compatibility prior to administration. It can mainly occur due to the error of typing or error by the practitioner while checking or matching the blood. Febrile reactions are common during the administration of blood and blood products.

10.B) You will need the help of another nurse prior to the administration of these packed red blood cells.

Reason: Blood products should be cross checked with doctor's order by at least 2 nurses help avoid errors.

11. C) A multi lumen implanted tunneled and cuffed central venous catheter

Reason: This multiple trauma patient multiple IV infusions like IV fluids, blood, medications etc. for a long period of time.