Blood Transfusions
This is the universal donor blood type.
What is O negative?
This term refers to the spread of cancer from one site to another.
What is metastasis?
This type of shock is caused by severe blood loss.
What is hypovolemic shock?
Best IV gauge for transfusion?
What is an 18G or 20G?
This solution is the only compatible IV fluid with blood products.
What is normal saline?
A common side effect of chemotherapy causing low white blood cells.
What is neutropenia?
This shock type results from severe allergic reaction.
What is anaphylactic shock?
Blood must be started within how many minutes of obtaining from blood bank?
What is 30 minutes?
The nurse should stay with the patient for the first ___ minutes of a transfusion.
What is 15 minutes?
A patient has neutropenia. Which nursing interventions are appropriate? (Select all that apply)
Place patient in a private room
Encourage fresh flowers in the room
Perform frequent hand hygiene
Avoid raw fruits and vegetables
Limit visitors with infections
✔ Place patient in a private room
✔ Perform frequent hand hygiene
✔ Avoid raw fruits and vegetables
✔ Limit visitors with infections
This type of shock occurs due to failure of the heart to pump effectively.
What is cardiogenic shock?
This type of shock can occur after a spinal cord injury causing loss of sympathetic tone.
What is neurogenic shock?
This vital sign change is often the earliest sign of a transfusion reaction.
What is fever?
A patient is experiencing spinal cord compression due to cancer. Which symptoms are expected? (Select all that apply)
A:
Back pain
Loss of bowel or bladder control
Weakness in extremities
Hypertension
Decreased sensation
✔ Back pain
✔ Loss of bowel or bladder control
✔ Weakness in extremities
✔ Decreased sensation
A key medications used first-line in septic shock.
What is IV fluids and broad spectrum antibiotics?
A cancer patient has a platelet count of 8,000/mm³. What is the priority nursing intervention?
What is implement bleeding precautions?
This life-threatening reaction is caused by ABO incompatibility.
What is an acute hemolytic transfusion reaction?
A nurse is teaching a patient about preventing infection during chemotherapy. Which statements indicate correct understanding? (Select all that apply)
“I will wash my hands frequently.”
“I can eat sushi if it’s fresh.”
“I should avoid crowds.”
“I will monitor my temperature daily.”
“I can clean my cat’s litter box.”
✔ “I will wash my hands frequently.”
✔ “I should avoid crowds.”
✔ “I will monitor my temperature daily.”
Why is urine output an important indicator in shock?
What is it reflects kidney perfusion?
A patient receiving a transfusion develops shortness of breath and crackles. What is the priority?
What is stop or slow the transfusion and assess for circulatory overload?