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Question 1 What type of IV solution may be used with blood and blood product administration? Lactated Ringers Dextrose 5% Normal Saline 0.45% Saline 1 points Question 2 The nurse understands which medication is the first line treatment for a patient experiencing anaphylaxis? diphenhydramine (Benadryl) epinephrine methylprednisolone (solu-Medrol) prednisone 1 points Question 3 What symptoms does the nurse anticipate in a patient experiencing anaphylaxis? Rales, frothy sputum, chest pain Wheezes and swelling of airway Cheyne-Stokes respirations, decreased LOC Stridor, cyanosis, and decreased LOC 1 points Question 4 A nurse should remain with a patient during the first 15 minutes of a blood transfusion to: Verify the blood is being transfused Assess for an adverse reaction Explain the procedure to the patient Obtain blood specimens for the lab 1 points Question 5 A nurse is caring for a patient who is receiving a blood transfusion. Which of the following actions should the nurse take when there is a transfusion reaction? (Select all that apply.) Stop the transfusion Send the blood bag and IV tubing to the blood bank Maintain an IV infusion with 0.9% sodium chloride Elevate the patient’s feet Obtain blood cultures 1 points Question 6 What symptoms would indicate the patient is experiencing hypovolemia? (Select all that apply). tachycardia bradycardia hypertension hypotension oliguria polyuria 1 points Question 7 A nurse is preparing to administer a unit of packed red blood cells. When should vital signs be obtained? 15 minutes after starting, then every 15 minutes while infusing before starting the infusion, then again in 15 min, then in 30 minutes, then hourly before starting the infusion, 30 minutes after starting, then hourly before starting the infusion, then every 30 minutes until completed 1 points Question 8 A nurse is preparing to administer a unit of packed red blood cells. What is the maximum amount of time the nurse has to transfuse? 2 hours 3 hours 4 hours 5 hours 1 points Question 9 The nurse administering blood understands that an 18-20 gauge IV is required for which of the following reasons? Prevent transfusion reaction Increase amount of blood transfused Allow for faster transfusion of blood Prevent hemolysis of blood cells 1 points Question 10 Which of the following is a known risk factor for transfusion reaction? Peanut allergy Previous surgeries Previous transfusions Latex allergy

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