A young adult woman is admitted with acute dyspnea and anxiety following a 12 hour car ride returning from vacation. The client is a smoker. She takes daily oral birth control and a low dose beta blocker medication for hypertension. The nurse anticipates what most appropriate priority action for this client? A Serum arterial blood […]

6 year old Christa is brought to the FNP’s office with her mother stating “she has her period”. Christa began to have vaginal bleeding yesterday without abdominal pain, no N/V/D, there is no history of abuse. Christina’s exam reveals Tanner 2-3 breasts, tanner 3 pubic hair. The rest of her development is normal. She is […]

Eleanor Walker is a 68-year-old, day 2, following a fractured neck of femur repair. Her haemoglobin is 76 g/L and she has no significant ongoing blood loss, but is dizzy and short of breath on mobilising. She has a history of ischaemic heart disease and cardiac failure. One unit of blood is prescribed, with a […]

Louise Lane is a 76-year-old woman, day-2 post hip replacement. Her haemoglobin is 86 g/L. She has no ongoing blood loss, is hydrated and haemodynamically stable. Two units of red cells have been prescribed to increase her haemoglobin to 100 g/L. Which of the following best describes the appropriateness of this prescription? a.Transfusion is indicated […]

Vincent Nguyen is having a pretransfusion blood sample collected in the preadmission clinic prior to elective surgery next week. Which of the following best describes how to confirm his identity? Ask Vincent to state and spell his full name, state his date of birth, and confirm his medical record number or address Call Vincent from […]

Joshua Liew has been admitted to the intensive care unit. Prior to transfusion it is noted that he is not wearing a patient identification band. In this situation transfusion may be commenced: After checking it against the patient’s bed card and documenting this in the patient’s notes If the staff are familiar with the patient, […]

Jesse Johnson requires 2 units of red cells. Two nurses have performed the checks of patient, prescription and pack details at the patient’s side. Who is an appropriate staff member to spike and put up the pack? Any registered nurse, midwife or medical officer who is in the area One of the two staff who […]

Phillip Maguire is receiving a single unit of red cells following cardiac surgery. Thirty minutes into the transfusion he presses his call bell to say he isn’t feeling well, but can’t really describe his symptoms. What is the correct course of action to take? Stop the transfusion, return the unused blood to the laboratory and […]

Erica Watson is receiving one unit of red cells on day two following a severe postpartum haemorrhage. When taking her vital signs one hour into the transfusion, you notice that her temperature has increased from a baseline of 37.1 °C to 38.2 °C. What is the correct response? Stop the transfusion, maintain IV access, complete […]

The patient, a 23-year-old pregnant female, has sought medical attention due to a persistent non-productive cough, wheezing, and fatigue of three weeks’ duration. She is currently at 25 weeks of gestation and has a history of childhood asthma diagnosed at the age of 8, for which she used a Short-Acting Beta-Agonist (SABA) as needed, but […]