Chapter 11: Transfusion Therapy

Chapter 11: Transfusion Therapy

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

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.

Answer Section

MULTIPLE CHOICE

ANS: C

When a unit of blood has finished infusion, the line should be flushed with approximately 20 to 30 mL sodium chloride before the blood administration set is taken down and the new primary administration set is connected.

Reference: Sink, B. (2008). Administration of blood components. In J. D. Roback, M. R. Combs, B. J. Grossman, & C. D. Hillyer (Eds.), Technical manual (16th ed.). Bethesda, MD: American Association of Blood Banking.