I.V. Therapeutics Evidence Based Practice for Infusion Therapy 6th Edition by Lynn Dianne Phillips, Lisa Gorski – Test Bank

Chapter 11: Transfusion Therapy

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____     1.   A nurse has transfused a unit of packed RBCs, which has a 250-mL bag of 0.9% sodium chloride attached. The follow-up I.V. order is to hang a 1000-mL bag of 5% dextrose in water. Which steps should be taken by the nurse after completing the transfusion and initiating the next I.V. order?

a. Aspirate the I.V. line before connecting the I.V. solution tubing.
b. Infuse the remaining sodium chloride before attaching the new primary I.V. administration set.
c. Flush the blood tubing with sodium chloride before changing to the primary I.V. administration set.
d. Disconnect the tubing while there is blood in the line and attach the primary I.V. administration set.

____     2.   A nurse obtains a blood specimen for type and cross match for a client suspected of having type A-positive blood. The nurse understands that A-positive blood contains which antibody in the plasma?

a. Anti-A
b. Anti-O
c. Anti-B
d. Anti-A and anti-B

____     3.   A maternal-child nurse is caring for a client who has type A-negative blood, received no prenatal care, and delivered a type A-positive fetus. The nurse is concerned for the client because previous exposure to an antigen through pregnancy or transfusion may cause the client to develop:

a. more antigens.
b. an antibody to an antigen.
c. tolerance to a transfusion.
d. alloimmunization to the antibody.

____     4.   A nurse is caring for a client diagnosed with thrombocytopenia. Thrombocytopenia is an abnormally low number of:

a. platelets in the blood.
b. antibodies in the blood.
c. RBCs in the blood.
d. white blood cells in the blood.

____     5.   A client presents to a hospital laboratory wishing to make an autologous donation. An autologous donation is defined as the donation of:

a. bone marrow to be used for transplant.
b. blood by a donor to be used only by the donor.
c. blood directly from one donor to a specified recipient.
d. blood in a similar structure from a volunteer donor to a compatible recipient.
A unit of packed red blood cells (PRBCs) is ordered for a client with anemia. The physician does not specify a rate for the infusion, according to standards of practice. Thus, the nurse should set the transfusion drip rate so that the PRBCs will be infused within:
a. 1/2 hour.
b. 1 hour.
c. 2 hours.
d. 4 hours.

____     7.   A 25-year-old client who is a Jehovah’s Witness was recently diagnosed with multiple myeloma. The client presents with a hemoglobin (Hgb) level of 6 g/dL. The client’s physician orders a transfusion of 4 units of red blood cells, but the client refuses. Which is the most appropriate action by a nurse?

a. Do nothing.
b. Administer the transfusion as ordered.
c. Notify the physician of the client’s refusal.
d. Convince the client to accept the transfusion.

____     8.   A 90-year-old client is receiving 2 units of packed red blood cells. Furosemide (Lasix) 80 mg I.V. pyelography has been ordered after the first unit of blood has infused. The client asks a nurse why she is getting Lasix. The nurse’s response should be based on the understanding that furosemide:

a. prevents pulmonary emboli.
b. prevents circulatory overload.
c. lowers the blood pressure.
d. counteracts the transfusion-induced hypercalcemia.

___     9.   A nurse is caring for a client diagnosed with post-transfusion hepatitis after a blood transfusion. Which virus is the primary cause of post-transfusion hepatitis?

a. Hepatitis A virus
b. Hepatitis B virus
c. Cytomegalovirus
d. HIV

____   10.   A physician orders 1 unit of packed red blood cells for a client diagnosed with anemia. A nurse correctly infuses the blood cells over a period of:

a. 1 hour.
b. 2 hours.
c. 4 hours.
d. 6 hours.