An anemic hemodialysis patient has been ordered to receive a blood transfusion of two units of packed red blood cells
Understanding that it is the patient's hemodialysis day, the medical-surgical nurse's best approach to the administration of the blood is to:
A) Administer the two units of blood and notify the dialysis unit that the hemodialysis treatment will need to be delayed.
B) Inform the dialysis nurse that the patient will need to receive the two units of blood during the dialysis treatment.
C) Consult the physician to obtain an order for erythropoietin administration today and an order to delay the blood transfusion until the following day.
D) Administer one unit of blood before the hemodialysis treatment and administer the second unit after the patient returns from dialysis.
Ans: B
Feedback: Blood transfusions should be administered during hemodialysis, if possible, so that the excess potassium in the transfused blood can be removed during the hemodialysis treatment.
You might also like to view...
A nurse discusses the adverse effects of meclofenamate with a woman taking the drug for dysmenorrhea. It is important to caution this patient about which common adverse effect?
a. Diarrhea b. Constipation c. Headache d. Rash
Which finding may be considered normal during adolescence?
1) Fuller and firmer breasts 2) Darker areolas 3) Colostrum production 4) Asymmetrical breasts
All states have requirements that children receive immunizations or vaccinations against communicable diseases before they attend school
Some parents request that their child be exempt from the required immunizations for medical, religious, or philosophical reasons. What action might a school nurse take related to this request? The nurse: 1. Will deny entry into school for children without the required immunizations 2. Must educate the parents about the need for immunizations 3. Should be aware of the laws in the state regarding acceptable reasons for immu-nization exemption 4. Should allow the student to attend school without the immunizations
The nurse is caring for a surgical patient, when the family member asks what perioperative nursing means. How should the nurse respond?
a. Perioperative nursing occurs in preadmission testing. b. Perioperative nursing occurs primarily in the postanesthesia care unit. c. Perioperative nursing includes activities before, during, and after surgery. d. Perioperative nursing includes activities only during the surgical procedure.