A nurse is monitoring a blood transfusion for a client following major surgery. Which of the following guidelines should be followed for a blood transfusion procedure?

A) Store and preserve blood in the nursing unit before infusion.
B) Avoid the joint administration of 0.9% saline and blood.
C) Document vital signs during the transfusion.
D) Get one licensed person to identify the unit of blood.


C
Feedback:
The nurse should document vital signs during the transfusion. The nurse should not store or preserve blood or blood components in the nursing unit before infusion. Saline (0.9%) and blood can be administered jointly. Two, not just one, licensed personnel should identify the client and unit of blood before the transfusion procedure.

Nursing

You might also like to view...

What antifungal would be appropriate for the nurse to administer to treat a patient with an oropharyngeal candidiasis?

A) Itraconazole B) Fluconazole C) Posaconazole D) Clotrimazole

Nursing

A hypertensive client, age 55, is slightly obese, has a sedentary lifestyle, and smokes half a pack of cigarettes daily. For the behavioral change with the most immediate and positive impact on his blood pressure, the nurse would focus on

a. caffeine restriction. b. regular exercise. c. smoking cessation. d. weight reduction measures.

Nursing

The Joint Commission restricts the use of restraints to the least restrictive device necessary to prevent disruption of needed care. The order for restraints must include which of the following? (Select all that apply.)

a. Type b. Duration c. Purpose d. Location e. Size

Nursing

The nurse assesses a client before surgery. Which client assessment is most likely to require follow-up nursing interventions?

1. Father died after surgery last year 2. Exposure to chickenpox 8 weeks ago 3. Serum hemoglobin level of 13.5 g/dL 4. Weight 136 pounds, height 5 feet 6 inches

Nursing