A patient will be undergoing a total hip arthroplasty later in the day and it is anticipated that the patient may require blood transfusion during surgery. How can the nurse best ensure the patient's safety if a blood transfusion is required?
A) Prime IV tubing with a unit of blood and keep it on hold.
B) Check that the patient's electrolyte levels have been assessed preoperatively.
C) Ensure that the patient has had a current cross-match.
D) Keep the blood on standby and warmed to body temperature.
Ans: C
Feedback:
Few patients undergoing an elective procedure require blood transfusion, but those undergoing high-risk procedures may require an intraoperative transfusion. The circulating nurse anticipates this need, checks that blood has been cross-matched and held in reserve, and is prepared to administer blood. Storing the blood at body temperature or in IV tubing would result in spoilage and potential infection.
You might also like to view...
Four hours after a stapedectomy the patient complains that hearing has not improved at all. What knowledge would the nurse use to shape a response?
a. A large percentage of stapedectomies are not successful b. It will take at least 10 days for the graft to heal c. Hearing will not return until edema subsides d. Hearing will improve after irrigation of the ear
Which of these terms would the nurse use when describing the fertilized ovum prior to implantation?
a. embryo c. fetus b. fertilized ovum d. zygote
The nurse planning care for an intubated client includes which interventions to prevent accidental extubation? (Select all that apply.)
a. Avoid opioid analgesics to prevent confusion and sedation. b. Do not reposition the client unless absolutely necessary. c. Keep tubing out of the client's reach. d. Provide adequate sedation and pain control. e. Use wrist restraints according to hospital policy.
Review of a 7-year-old boy's chart reveals a diagnosis of Duchenne muscular dystrophy made after the patient began to exhibit Gowers' maneuver. Which movements would the nurse expect to assess?
1. The child rocks backward and forward several times before being able to get up from a chair. 2. The child extends both arms out to the sides for balance while walking. 3. The child gets onto the hands and knees before achieving a standing position from the floor. 4. The child must roll to the side and push up from the floor with the hands.