Question

what percentage of patients receiving abo incompatible blood die as a result of the transfusion?
a. 10%
b. 35%
c. 50%
d. >50%

when completing the blood administration record:
a. rn/lpn/md #1 holds the blood and rn/lpn/md #2 holds the form
b. rn/lpn/md #1 holds the form and rn/lpn/md #2 holds the blood
c. rn/lpn/md #1 holds the form and the blood and rn/lpn/md #2 checks email
d. none of the above.

policy states that the nurse verifies the completed blood product pick - up request with the mds blood order. why?
a. to check for the correctness of pt. name.
b. to check for correctness of blood product.
c. to check for correctness of attributes.
d. all of the above.

to prevent an error in the identification process, a phlebotomy sample must always be labeled with appropriate information:
a. in the hall outside the patients room.
b. in the patients bathroom after washing your hands.
c. at the patients bedside.
d. at the nurses station after obtaining the proper sample.

when administering blood, if the patient does not have an armband, the nurse must:
a. stop and get an armband.
b. stop and get an armband.
c. stop and get an armband.
d. all of the above.

the pacu is very busy, and a patient needs blood to be hung now. the two nurses may check the blood at the nurses station because you can see the patient better utilization on valuable nursing time. is this a good decision?
a. yes, if both nurses are especially careful.
b. no, because it is a violation of policy that increases the likelihood of human error.
c. only if both nurses are charge nurses.

Explanation:

1. ABO - incompatible blood transfusions are very dangerous, and a high - percentage of patients die. It is well - known that more than 50% of patients receiving ABO - incompatible blood die.
2. Regarding blood administration record completion, there are specific procedures and none of the given options A, B, C are correct.
3. Verifying the blood product pick - up request with the MD's blood order is to check name, blood product, and attributes, so all of the above.
4. Phlebotomy samples should be labeled at the patient's bedside to prevent identification errors.
5. If a patient has no armband during blood administration, the nurse must stop and get an armband to ensure proper patient identification.
6. Checking blood at the nurse's station instead of at the patient's bedside when the patient needs blood is a violation of policy that increases the likelihood of human error.

Answer:

1. D. >50%
2. D. None of the above
3. D. All of the above
4. C. At the patient's bedside
5. A. STOP and get an armband
6. B. No, because it is a violation of policy that increases the likelihood of human error