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[DOWNLOAD] Blood Transfusion Exam Questions And Answers | HOT
B Informing the client that the transfusion usually takes 4 to 6 hours. C Documenting blood administration in the client chart. D Instructing the client to report any itching, chest pain, or dyspnea. Question 1 Explanation: This will help the nurse...[FREE] Blood Transfusion Exam Questions And Answers | latest
The blood must be started within 30 minutes. A patient who needs a unit of packed red blood cells is ordered by the physician to be premeditated with oral diphenhydramine and acetaminophen. You will administer these medications? Immediately after...
- As the nurse you know it is priority to: A. The patient has already received 1 unit of blood and another unit is needed. It took 4 hours for the first unit to transfuse and the nurse needs to obtain new y-tubing for the next unit of blood. Y-tubing sets are only good for 4 hours. Some hospitals require new tubing sets with each unit transfusion or after 4 hours…. This will include? Your next action is to: A. Administer the blood transfusion as ordered. Hold the blood transfusion and reassess vital signs in 1 hour. Notify the physician before starting the transfusion.
- The answer is C. The patient has an elevated temperature. You stay with the patient during the first 15 minutes and: A. Remember the blood must be transfused within hours…. During the first 15 minutes is when the patient is most likely to have a transfusion reaction. Running the blood slowly during the first 15 minutes allows the patient to receive the LEAST amount of blood possible if a reaction does occur. A patient started receiving their first unit of blood at It is now and the patient is reporting itching, chills, and a headache. Your next nursing action is: A. Stop the transfusion C. Decrease the rate of the transfusion D. Reassure the patient that this is normal and will resolve in 30 minutes. The answer is A. The patient is possibly having a transfusion reaction. In addition, have normal saline infusing to keep the vein open. THEN the nurse will notify the physician and blood bank. What solution or solutions below are compatible with red blood cells? Normal Saline C.
- Any medications with normal saline D. No solutions are compatible with blood The answer is A. The patient is at risk for? Febrile transfusion reaction B. Hemolytic transfusion reaction D. Allergic transfusion reaction The answer is C. This patient is at risk for a hemolytic reaction. This is where the immune system is killing the donors RBCs. Your patient is having a transfusion reaction. You immediately stop the transfusion.
- Next you will: A. Notify the physician. Disconnect the blood tubing from the IV site and replace it with a new IV tubing set-up and keep the vein open with normal saline 0. Collect urine sample. Send the blood tubing and bag to the blood bank. The answer is B. This question wants to know your NEXT nursing action. You can also take more fun nursing quizzes. This quiz is copyright RegisteredNurseRn. Please do not copy this quiz directly; however, please feel free to share a link to this page with students, friends, and others. Please Share:.
- Questions about Individuals Diagnosed with Hemochromatosis and Blood Donations Is it true that individuals diagnosed with hemochromatosis can now donate? FDA has always allowed individuals diagnosed with hemochromatosis to donate blood. However, FDA is now allowing variances to the requirements that blood establishments 1 label such blood with the donor's disorder, and 2 have a physician examine the donor at the time of donation if less than eight weeks has passed since the previous donation. These variances are specific for individuals with hereditary hemochromatosis. The existing regulations require that blood establishments using blood collected during therapeutic bleedings label these units with the disease that necessitated the therapeutic bleeding 21 CFR Part FDA has the authority to permit exemptions to the blood regulations under the provisions of 21 CFR In August , FDA issued Guidance for Industry: Variances for Blood Collection from Individuals with Hereditary Hemochromatosis providing recommendations to blood establishments that wish to apply for these variances.
- Refer to the guidance document for the conditions blood establishments must meet in order for us to approve the variance requests. Not all blood establishments have applied for these variances. Ultimately, it is the decision of each blood establishment to apply for any variance. In summary, when a blood establishment desires to use blood from a therapeutic hemochromatosis bleeding for transfusion purposes, the blood establishment must either 1 label the collected blood with the donor's disorder and have a physician examine the donor on the day of donation if less than eight weeks has passed since the previous donation, or 2 apply for the variances. Reasons for Other Deferrals Explained I was diagnosed with hepatitis at a young age. Am I still deferred? Under Title 21 CFR Donor suitability in regard to a history of viral hepatitis at the age of 11 years or later should be assessed by asking the donor for recollections of experiencing physical signs or symptoms of clinical hepatitis e.
- Records of laboratory data e. However, certain isolated laboratory test results should not be considered equivalent to a history of viral hepatitis. If a clinical history or diagnosis of viral hepatitis occurring at age 11 years or later is established, the donor must be permanently deferred, and blood and blood components collected from the donor should not be used in the manufacture of products intended for transfusion. If viral hepatitis infection before the age of 11 is suspected to have occurred, the donor should be temporarily deferred and blood and blood components collected from the donor should not be used in the manufacture of products intended for transfusion until the circumstances are investigated and a medical opinion rendered on the significance of the history, and the conclusion drawn that there is no history or diagnosis of viral hepatitis after age Please be aware, however, that a blood center may voluntarily elect to adopt more stringent donor deferral criteria in its Standard Operating Procedures SOPs than those required or recommended by the FDA.
Billing For Blood And Transfusion Services: Frequently Asked Questions And Answers
I was recently deferred for an inconclusive Hepatitis B core test. Can you explain the reasoning behind the deferral? Antibody to hepatitis B core antigen anti-HBc is an antibody that generally appears close to the onset of clinical hepatitis and may persist for years or life. In the mids, U. This test was intended as a surrogate non-specific test for hepatitis C formerly called non-A, non-B hepatitis. In addition, studies of transfusion-associated hepatitis B prior to anti-HBc testing indicated that hepatitis B still occurred, despite the use of a sensitive test for hepatitis B surface antigen HBsAg. On September 10, , FDA issued a memorandum to all registered blood establishments providing recommendations and guidance on testing for anti-HBc, donor deferral, product labeling and quarantine.- FDA recommends that blood and blood components found to be repeatedly reactive for anti-HBc should not be used for transfusion. Studies have demonstrated that transfusions of blood that is reactive for anti-HBc, but negative for Hepatitis B Surface Antigen, were associated with some cases of post-transfusion hepatitis. The numbers of transfusion recipients developing hepatitis in such circumstances are, indeed, extremely low, but FDA is committed to ensuring the safest blood supply possible. In addition, FDA recommends that donors having a repeatedly reactive test for anti-HBc on more than one occasion be indefinitely deferred until a licensed confirmatory test is available for use.
- At present, there is no licensed confirmatory test available. Please note that the FDA does not prevent blood banks from developing procedures more stringent than FDA's regulations and recommendations. When a blood bank incorporates a standard operating procedure, the FDA requires the blood center to specifically follow the procedures that the center has developed. Therefore, the blood bank where you donated may be following a standard operating procedure that is more rigid than current FDA recommendations. If you have had only one reactive test for anti-HBc, then you may be eligible to donate blood again, provided that all other donor suitability criteria are met and the blood center's procedures are followed. Again, the blood bank where you donated may be following a standard operating procedure that is more rigid than current FDA recommendations and, for that reason, you may be excluded from donating.
MCQ's For Blood Bank Technician And Technologists - Part 9 | Lab Tests Guide
The panel of experts, who are not government employees, based their report on presentations by investigators working in areas relevant to the consensus questions, questions and statements from the conference attendees, and closed deliberations by the panel. The panel's recommendations included continuing testing for anti-HBc as part of the donor screening process, both to prevent hepatitis B and as a surrogate marker for HIV risk. The panel also emphasized the need to improve the specificity of screening tests for anti-HBc. FDA certainly will continue to cooperate in this effort, even potentially allowing a re-entry scheme in the future. However, after reviewing scientific data, this panel of outside experts, which provides scientific advice to FDA, did not recommend the re-entry algorithm at that time.- Individuals can be perfectly healthy, give a negative history, and yet be carriers of one or more hepatitis viruses. Unfortunately, the presence of hepatitis viruses cannot always be detected with absolute certainty by any presently available means, including history, physical exam, or laboratory tests. While some FDA requirements and recommendations may seem inconvenient or not reasonable in all situations, they actually represent measures taken to ensure that blood and blood products are as safe as possible. There is no doubt that some persons, without hepatitis or other infectious diseases, are deferred as a result of established criteria. Box , Kensington, MD , phone Recently, I was informed by my local blood bank that I would no longer be able to donate blood because of an indeterminate test result for HIV.
- My physician has tested my blood and determined that I am negative for any infectious diseases. In light of the fact that there is a reported blood shortage, how can I be deferred if it has been determined that I do not have HIV? The Food and Drug Administration FDA is responsible for establishing policies which will maximally protect the recipients of blood products. Part of the protective strategy includes screening of all blood and plasma collections for markers of transmissible infectious diseases.
- Unfortunately, current technology does not permit perfect testing, i. The possibility does exist for indeterminate or inconclusive test results to occur when HIV-1 testing is performed. FDA recognizes that the deferral of donors who have had a repeatedly reactive screening test result may exclude individuals who probably have little risk of HIV-1 or other viral infection. FDA's intent is to eliminate blood that has the potential to transmit HIV-1 viral infections from the nation's blood supply.
- Although the need for donors is great, it is in the best interests of the recipients of such donations to err on the side of safety. Unfortunately, once an indeterminate or inconclusive result is obtained, the donor should be indefinitely deferred. FDA established a mechanism for previously deferred donors to re-enter the donor program. Under certain circumstances a donor with an indeterminate Western Blot may be tested for possible re-entry after a six-month period if an unlicensed Western Blot was used for the original test. A licensed Western Blot must be used for re-entry. If a licensed Western Blot was used for the original test, a donor with indeterminate results may not currently be considered for re-entry. Although it is highly unlikely that individuals with indeterminate or inconclusive test results are actually infected with HIV, FDA is erring on the side of safety to assure that the nation's blood products are as safe as possible.
Billing For Blood And Transfusion Services- Frequently Asked Questions And Answers
Although this policy may disqualify some healthy individuals from donating blood, it has proven effective in protecting the nation's blood supply. Back to top Related Information.Blood Transfusion NCLEX Practice Quiz (15 Items) - Nurseslabs
Search Encyclopedia Take the Blood Transfusion Quiz Each year, millions of Americans roll up their sleeves to donate blood, helping accident victims, surgical patients, and others in need. How much do you know about blood transfusions? Take this multiple-choice test to find out. Why are transfusions given? You didn't answer this question. You answered The correct answer is Different types of transfusions help replace different blood cells or components of the blood. One type of transfusion improves clotting problems. To increase the amount of blood B. To increase the blood's ability to carry oxygen C. To decrease the risk of bleeding D.- All of the above 2. Which parts of the blood can be transfused? You answered Whenever possible, recipients are given only the component of blood needed instead of whole blood. Whole blood.
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