Author Question: The nurse suspects that the patient is experiencing a blood transfusion reaction. The nurse stops ... (Read 38 times)

big1devin · **on:** Jul 22, 2018

The nurse suspects that the patient is experiencing a blood transfusion reaction. The nurse stops the infusion but is concerned about losing the IV line if blood clots in the catheter. The nurse should:

a. replace the entire transfusion line with a new set primed with normal saline.
b. turn off the blood and turn on the normal saline infusion to flush the tubing.
c. discontinue the IV and start a new IV of lactated Ringer's in the other extremity.
d. maintain the patency of the current IV line by hanging a new IV bag of D5W.

Question 2

A nurse is caring for a client who is being administered oxygen through a transtracheal catheter. Which of the following devices should the nurse use to administer oxygen when cleaning the opening and the tube?

A) Simple mask
B) Face tent
C) Nasal cannula
D) Venturi mask

lou · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

A
Remove the blood component and tubing containing the blood product. Replace them with new primed tubing with a container of 0.9 sodium chloride (normal saline). Connect tubing to hub of IV catheter. Do not turn off the blood and simply turn on the 0.9 sodium chloride (normal saline) that is connected to the Y-tubing infusion set. This would cause blood remaining in the Y-tubing to infuse into the patient. Even a small amount of mismatched blood can cause a major reaction. Keep the IV site in case it becomes difficult to start another. Maintain a patent IV line using 0.9 normal saline.

Answer to Question 2

C
Feedback:
The nurse should use a nasal cannula to administer oxygen when cleaning the opening and the tube of the transtracheal catheter. A transtracheal catheter, which is a hollow tube inserted within the trachea to deliver oxygen, is used to administer oxygen to a client who requires long-term oxygen therapy. During the cleaning of the catheter, the client takes in oxygen through a nasal cannula. The nurse may not use a simple mask, face tent, or a venturi mask to administer oxygen to the client.