Blood Transfusion
This is the first action a nurse should take if a client develops hives and itching during a blood transfusion.
What is stop the transfusion?
This diagnostic test confirms a client’s inability to absorb vitamin B12, as seen in pernicious anemia.
What is the Schilling test?
This glycoprotein, made in the stomach, is essential for vitamin B12 absorption.
What is intrinsic factor?
The abnormal hemoglobin in sickle cell disease causes this problem with blood flow.
What is blockage of vessels and decreased oxygen delivery?
This type of cell is primarily affected in multiple myeloma.
What is the plasma cell?
The nurse should anticipate this as an early sign of circulatory overload during a blood transfusion.
What is dyspnea?
This type of anemia results from decreased production of red blood cells in the bone marrow.
What is aplastic anemia?
This condition, most prevalent in people of northern European ancestry, is a common autoimmune cause of B12 deficiency.
What is pernicious anemia?
his is the painful, recurring complication where sickled cells block blood flow in tissues.
What is a vaso-occlusive crisis (VOC)?
This form of lymphoma is more common and more often affects men.
What is non-Hodgkin lymphoma?
The nurse must check this with another qualified individual before starting a blood transfusion.
What is the blood product (double-checking with another nurse or provider)?
A client with a hemoglobin of 10.8 g/dL and hematocrit of 30% is most at risk for this condition.
What is cellular hypoxia?
What is cellular hypoxia?
These two neurological symptoms are hallmark findings in untreated B12 deficiency.
What are peripheral neuropathy and visual deficits?
Clients with sickle cell should avoid extreme temperatures and do this regularly to prevent dehydration.
What is drink at least 8 glasses of water daily?
This event, involving massive radiation exposure, has been linked to increased CML incidence.
What is atomic bomb exposure?
This type of reaction occurs when the client’s immune system attacks transfused red blood cells due to incompatibility.
What is an acute hemolytic reaction?
This stool-based test can help determine if GI bleeding is a contributing factor to anemia.
What is a fecal occult blood test?
This type of diet puts individuals at risk for B12 deficiency due to lack of animal-based foods.
What is a strict vegan diet?
This is the most significant impact of sickle cell anemia on a client’s quality of life.
What is pain?
ALL is a cancer that causes the overproduction of this type of white blood cell.
What are lymphocytes (B or T lymphocytes)?
This occurs when blood is given too quickly and exceeds the heart’s ability to manage the volume.
What is transfusion-related circulatory overload (TACO)?
These three symptoms—fatigue, dizziness, and chest pain—are common in this type of anemia.
What is iron deficiency anemia?
This form of B12 administration may be lifelong in pernicious anemia.
What is intramuscular injection?
This life-threatening complication occurs when blood flow is blocked to the lungs.
What is acute chest syndrome?
This abnormal chromosome is present in 90–95% of clients with CML.
What is the Philadelphia chromosome?
This urine characteristic may indicate red blood cell destruction during a transfusion reaction.
What is dark or reddish urine?
These chronic GI conditions (name at least one) can impair iron absorption and increase anemia risk.
What is Crohn’s disease or ulcerative colitis?
Older clients may need environmental modifications due to these two common safety risks of B12 deficiency.
What are falls and visual deficits?
This is the first assessment focus during a pain crisis in sickle cell anemia.
What is pain assessment?
This test evaluates bone marrow for blast cells and is essential in diagnosing CML.
What is bone marrow aspiration and biopsy?