Documentation and Reporting
Documentation and Reporting ( 6 Questions)
A nurse is reviewing a client's laboratory results before administering a blood transfusion.
Which of the following results should the nurse report to the provider before proceeding with the transfusion?
This is a low hemoglobin level, which indicates anemia, but it is not a contraindication for blood transfusion. In fact, blood transfusion may be indicated to treat severe anemia and improve oxygen delivery to the tissues.
This is a normal platelet count, which indicates adequate clotting function. It is not a reason to withhold or delay blood transfusion.
The nurse should report the potassium level of 5.5 mEq/L to the provider before proceeding with the blood transfusion, as this indicates hyperkalemia, which can cause cardiac arrhythmias or arrest. Blood transfusion can increase potassium levels further, especially if the blood has been stored for a long time or if it is administered rapidly.
This is the client's blood type, which is compatible with any blood type for transfusion, as AB positive is the universal recipient. It is not a reason to report to the provider or stop the transfusion.
Potassium 5.5 mEq/L
Rationale: The nurse should report the potassium level of 5.5 mEq/L to the provider before proceeding with
the blood transfusion, as this indicates hyperkalemia, which can cause cardiac arrhythmias or arrest. Blood transfusion can increase potassium levels further, especially if the blood has been stored for a long time or if it is administered rapidly.
Incorrect options:
A) Hemoglobin 8 g/dL - This is a low hemoglobin level, which indicates anemia, but it is not a contraindication for blood transfusion. In fact, blood transfusion may be indicated to treat severe anemia and improve oxygen delivery to the tissues.
B) Platelets 150,000/mm3 - This is a normal platelet count, which indicates adequate clotting function. It is not a reason to withhold or delay blood transfusion.
D) Blood type AB positive - This is the client's blood type, which is compatible with any blood type for transfusion, as AB positive is the universal recipient. It is not a reason to report to the provider or stop the transfusion.