The nurse receives a unit of blood from the blood bank for a postoperative client who is currently in the X-ray department. Which action should the nurse implement?
Question
The nurse receives a unit of blood from the blood bank for a postoperative client who is currently in the X-ray department. Which action should the nurse implement?
Solution
The nurse should first ensure the blood is properly stored to maintain its integrity until the patient returns from the X-ray department. Blood products should be stored in a controlled environment, typically a refrigerator, until they are ready to be administered.
Next, the nurse should verify the blood type and cross-match with the patient's records to ensure compatibility. This is a critical step to prevent transfusion reactions.
Once the patient returns from the X-ray department, the nurse should re-check the patient's identity and the blood product details with another nurse or healthcare professional. This is a standard procedure known as 'bedside check'.
Before starting the transfusion, the nurse should monitor and record the patient's vital signs. This provides a baseline for comparison during and after the transfusion.
The nurse should then administer the blood product as per the hospital's protocol, typically starting at a slow rate and then gradually increasing.
During the transfusion, the nurse should monitor the patient closely for any signs of a reaction, such as fever, chills, rash, or changes in vital signs.
After the transfusion, the nurse should again check the patient's vital signs and dispose of the blood bag and tubing appropriately.
Finally, the nurse should document all the steps and any observations in the patient's medical record.
Similar Questions
A nurse in an emergency department is preparing a client for emergency surgery.The client's blood alcohol level is 180 mg/dL.Which of the following actions is the nurse's priority?A. Insert an indwelling urinary catheter.B. Insert an NG tube.C. Obtain consent for surgery.D. Apply antiembolic stockings.
A client with pneumonia presents with the following arterial blood gases: pH of 7.28, PaCO2 of 74, HCO3 of 28 mEq/L, and PO2 of 45. Which of the following is the most appropriate nursing intervention? A. Administer a sedative B. Place client in left lateral position C. Place client in high-Fowler’s position D. Assist the client to breathe into a paper bag
A nurse is caring for a client immediately following a cardiac catheterization through the right femoral artery. Which of the following actions should the nurse take?A. Monitor the client's vital signs once every hour.B. Elevate the head of the client's bed to a 45° angle.C. Restrict the client's fluid intake.D. Instruct the client not to bend the affected leg.
You are working in the ER and have a patient who needs a blood transfusion. Without knowing the patient's blood type, which of the following blood types would you be able to safely provide?ANSWERA+AB–O–B–
The nurse is caring for a client experiencing hypovolemic shock. Which of thefollowing interventions would not be appropriate for this client? ***(a) Monitor intravenous fluid replacement.(b) Monitor vital signs(c) Monitor hemoglobin and hematocrit levels(d) Assist to a sitting position
Upgrade your grade with Knowee
Get personalized homework help. Review tough concepts in more detail, or go deeper into your topic by exploring other relevant questions.