Elsevier Adaptive Quizzing Quiz performance DIC and Blood Administration Practice.pdf

3/20/24, 7:19 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/53114355 1/16 Exit Performance DIC and Blood Administration Practice Quiz Due Feb 25, 2024 by 11:59 pm Final Score 86% 13 out of 15 questions answered correctly Completed on Feb 24, 2024 10:36 pm Incorrect (2) Report content error

3/20/24, 7:19 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/53114355 2/16 Which intervention would the nurse anticipate incorporating into the plan of care for a patient newly diagnosed with disseminated intravascular coagulation (DIC)? Rationale Treating the underlying cause of DIC will interrupt the abnormal response of the clotting cascade and reverse the DIC. Heparin will be administered if the manifestations of thrombosis are present and the benefit of reducing clotting outweighs the risk of further bleeding. Blood product administration occurs based on the specific component deficiencies and is reserved for patients with life-threatening hemorrhage. Test-Taking Tip: If the question asks for an immediate action or response, then all of the answers may be correct, so base your selection on identified priorities for action. p. 738 Report content error Administer heparin. Administer whole blood. Treat the causative problem. Administer fresh frozen plasma.

3/20/24, 7:19 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/53114355 3/16 When monitoring a patient who is receiving a transfusion of packed red blood cells (PRBCs), the nurse would perform which intervention? Select all that apply. One, some, or all responses may be correct. Some correct answers were not selected Rationale During the first 15 minutes or 50 mL of blood infusion, remain with the patient. If there are any untoward reactions, they are most likely to occur at this time. Most patients not in danger of ﬂuid overload can tolerate the infusion of one unit of PRBCs over 2 hours. The transfusion should not take more than 4 hours to administer because of the increased risk of bacterial growth in the product once it is out of refrigeration. Chills, fever, lower back pain, ﬂushing, tachycardia, dyspnea, tachypnea, and hypotension are some manifestations of an acute hemolytic reaction. The nurse needs to stop the transfusion immediately if signs of a reaction are noted. The rate of infusion during this period should be no more than 2 mL/minute. p. 759 Start the infusion at a rate of 5 mL/minute. Check the patient's vital signs after the first 15 minutes. Remain with the patient during the first 15 minutes of blood infusion. Infuse the blood over 2 hours but no longer than 4 hours. Stop the infusion if the patient develops chills, fever, or lower back pain.

3/20/24, 7:19 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/53114355 4/16 Correct (13) Report content error

3/20/24, 7:19 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/53114355 5/16 The nurse would take which action to ensure patient safety when administering a unit of packed red blood cells (PRBCs)? Rationale The patient's identifying information (name, date of birth, medical record number) on the identification bracelet should match exactly the information on the blood-bank tag that has been placed on the unit of blood. A second registered nurse should perform this check. If any information does not match, the transfusion should not be hung because of possible error and risk to the patient. Blood tubing, not primary tubing, is needed for blood transfusion and should not be administered as a secondary infusion. The nurse should remain with the patient for 15 minutes following initiation of transfusion. p. 757 Report content error Select a new primary IV tubing to use for the administration and piggyback with 500 mL of normal saline. Add the blood transfusion as a secondary line to the existing IV and infuse over 60 minutes or less. Remain with the patient for 60 minutes after beginning the transfusion to watch for signs of transfusion reaction. Have a second registered nurse check the identifying information on the unit of blood against the identification bracelet and blood- bank identification bracelet.

3/20/24, 7:19 PM Elsevier Adaptive Quizzing - Quiz performance https://eaqng.elsevier.com/#/quizPerformance/53114355 6/16 Which action would the nurse take to safely infuse one unit of fresh frozen plasma (FFP) in a patient? Rationale The FFP should be administered as rapidly as possible and can be infused over 15 to 30 minutes. FFP is infused with the use of any straight-line infusion set. Any existing IV should be interrupted while the FFP is infusing unless a second IV line has been started for the transfusion. p. 759 Report content error The nurse will begin a patient’s transfusion of packed red blood cells at 1030. The nurse would plan to stay in the patient’s room until which time? Infuse the FFP over 8 hours. Infuse the FFP as rapidly as the patient will tolerate. Administer the FFP as an IV piggyback to the primary IV solution. Administer the FFP as an IV piggyback to lactated Ringer solution. 1040 1045 1050 1055

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