MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
When the nurse must administer blood or blood components, what knowledge is required?
A
The stroma is important in an indirect manner, in that it produces the colony-stimulating factors needed for hematopoiesis.
B
Iron, vitamin B12, folic acid, pyridoxine, protein, and other factors are required. A deficiency of these factors during erythropoiesis can result in decreased red cell production.
C
An increased number of band cells is sometimes called a left shift or shift to the left. A shift to the left indicates that more immature cells are present in the blood than normal.
D
Knowledge of correct administration techniques and possible complications is required. It is very important to be familiar with the facility’s policies and procedures for transfusion therapy.
Explanation: 

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: -During the transfusion process, the nurse is primarily responsible for monitoring the patient’s vital signs every 5 minutes during the first 15 minutes. The nurse must monitor for any signs and symptoms that may indicate a transfusion reaction.

Detailed explanation-3: -Verify that an order for the transfusion exists. Conduct a thorough physical assessment of the patient (including vital signs) to help identify later changes. Document your findings. Confirm that the patient has given informed consent.

Detailed explanation-4: -Safe transfusion requires a final patient identity check at the patient bedside before blood administration. This is vital to ensure the right blood is given to the right patient. Two clinicians must independently complete the patient and blood product identification check at the bedside.

There is 1 question to complete.