A blood unit arrives from the blood bank with unusual cloudiness and visible clumps. Which action should the nurse take?
Correct answer: C. Do not use it and notify the blood bank
- A. Warm the unit and begin it slowly
- B. Shake the unit gently before administration
- C. Do not use it and notify the blood bank
- D. Remove the clumps with a sterile needle
Explanation
Cloudiness, clumps, or abnormal discolouration may indicate contamination, haemolysis, or damage to the blood product. The unit must not be transfused or manipulated; it is returned or reported to the blood bank for investigation.
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About IV Fluids and Blood Transfusion
IV therapy covers crystalloid and colloid fluids, electrolyte replacement, maintenance and resuscitation fluids, infusion equipment and complications such as infiltration, phlebitis, fluid overload and electrolyte imbalance. Blood transfusion content includes compatibility, cross matching, administration precautions and recognition of haemolytic, febrile and allergic reactions, distinct from ordinary IV fluid reactions.
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