NEUROLOGY
SURGERY
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Question
[CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
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“I agree that you should be concerned with the safety of the blood, but it is important that you have this transfusion.”
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“The blood is carefully screened, so there is no possibility of you contracting any illness or disease from the blood.”
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“I understand your concern. The blood is carefully screened but is not completely risk free.”
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“You will have to decide if refusing the blood transfusion is worth the risk to your health.”
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Detailed explanation-1: -Before a blood transfusion, the nurse should educate the patient on the risks and benefits of the procedure, tell patients what to expect, and describe the potential signs and symptoms of a reaction. If a reaction occurs, patients should be informed on how to call for help.
Detailed explanation-2: -Whenever blood or a blood product is being administered, the nurse must closely monitor the client for the signs and symptoms of a possible complication. The first thing that the nurse must do when a reaction or a complication is possible is to discontinue the administration of the blood or blood product.
Detailed explanation-3: -Obtain and record the patient’s pretransfusion baseline vital signs, including temperature, pulse, respiration, blood pressure, and oxygen saturation level. If the patient is febrile, which means the patient’s temperature is higher than 37.8°C (100°F), notify the health care provider before initiating the transfusion.
Detailed explanation-4: -Which laboratory test results should prompt testing for megaloblastic anemia? An evaluation for megaloblastic anemia is often prompted by CBC results. CBC findings may include anemia (hemoglobin <13 g/dL in men and <12 g/dL in women) with macrocytosis (mean corpuscular volume >100 fL).