A nurse is preparing to administer a blood transfusion. What ...

[plus1]

A nurse is preparing to administer a blood transfusion. What action is most important?
 
  a. Correctly identifying client using two identifiers
  b. Ensuring informed consent is obtained if required
  c. Hanging the blood product with Ringer's lactate
  d. Staying with the client for the entire transfusion

Question 2

A client with multiple myeloma demonstrates worsening bone density on diagnostic scans. About what drug does the nurse plan to teach this client?
 
  a. Bortezomib (Velcade)
  b. Dexamethasone (Decadron)
  c. Thalidomide (Thalomid)
  d. Zoledronic acid (Zometa)

[yeungji]

Answer to Question 1

ANS: B
If the facility requires informed consent for transfusions, this action is most important because it precedes the other actions taken during the transfusion. Correctly identifying the client and blood product is a National Patient Safety Goal, and is the most important action after obtaining informed consent. Ringer's lactate is not used to transfuse blood. The nurse does not need to stay with the client for the duration of the transfusion.

Answer to Question 2

ANS: D
All the options are drugs used to treat multiple myeloma, but the drug used specifically for bone manifestations is zoledronic acid (Zometa), which is a bisphosphonate. This drug class inhibits bone resorption and is used to treat osteoporosis as well.