ATI Fundamental Exams | Nurselytic

Questions 85

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Question 1 of 5

A nurse is planning to perform a blood transfusion for a client. Which of the following actions should the nurse plan to take? (Select all that apply)

Correct Answer: B,D,E

Rationale: The correct actions for the nurse to take are B, D, and E.

B: Checking vital signs before the transfusion is crucial to ensure the client's safety and monitor for any signs of adverse reactions during the procedure.

D: Transfusing the blood product within 5 hours after removing it from refrigeration is important to maintain the integrity and effectiveness of the blood product.

E: Checking the expiration date of the blood product with a second nurse ensures an additional layer of safety and verification to prevent any errors in administering expired blood products.

These actions are essential for maintaining patient safety, ensuring the effectiveness of the blood transfusion, and preventing any potential complications.



Choices A and C are incorrect because priming the blood tubing with dextrose 5% in water and using a 13-gauge needle for IV insertion are not standard procedures for blood transfusions.

Question 2 of 5

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Question 3 of 5

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Question 4 of 5

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Question 5 of 5

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