A client has an order for one unit of packed cells. What is a correct nursing action in the administration of this product?

Ensure the blood is spiked with primary tubing and the saline with secondary tubing,

Start a 24 gauge IV in a large peripheral vein.

Keep the line open with the saline from the blood tubing in the event of a reaction.

Initiate the transfusion within half an hour of receiving the blood.

Answer and Explanation

The Correct Answer is D

A. Blood should be administered with a Y-tubing set that has normal saline as the only compatible fluid.

B. A 24-gauge IV is too small; at least an 18- or 20-gauge IV is recommended for blood administration.

C. If a transfusion reaction occurs, the line should be discontinued, and the normal saline should not be used to flush the remaining blood.

D. Blood transfusions must be initiated within 30 minutes of receipt from the blood bank to reduce the risk of bacterial contamination.

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Correct Answer is B

Explanation

A. An "undetectable" viral load means the risk of HIV transmission is significantly reduced ("Undetectable = Untransmittable" or U=U), though precautions should still be followed.

B. Clients with a low CD4+ count (<200 cells/µL) are at increased risk for opportunistic infections. Encouraging a healthy lifestyle and infection prevention helps maintain immune function.

C. Antibiotic prophylaxis is considered for clients with CD4+ counts <200 cells/µL, but it does not prevent viral load elevation.

D. There is no cure for HIV; lifelong ART is required to maintain viral suppression.

A. History of menorrhagia B. Yellowing of the skin and eyes C. Long-term use of omeprazole D. History of frequent hospital visits for vaso-occlusive crises

Correct Answer is B

Explanation

A. Menorrhagia (heavy menstrual bleeding) is more indicative of iron deficiency anemia.

B. Hemolytic anemia involves increased red blood cell destruction, leading to the release of bilirubin and causing jaundice (yellowing of the skin and eyes).

C. Long-term omeprazole use is associated with vitamin B12 deficiency anemia, not hemolytic anemia.

D. Frequent hospital visits for vaso-occlusive crises are characteristic of sickle cell disease, which can cause hemolytic anemia but has a distinct pathophysiology.

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A client has an order for one unit of packed cells. What is a correct nursing action in the administration of this product?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Eight years after beginning antiretroviral therapy (ART), a patient with human immunodeficiency virus infection has a CD4+ cell count of 81 cell/L and an "undetectable" viral load. Which intervention would the nurse include in the plan of care?

Correct Answer is B

Explanation

The nurse is assessing a Client who presented with fatigue, weakness, and a low hemoglobin level. Which of the following Signs and symptoms would lead the nurse to Suspect hemolytic anemia?

Correct Answer is B

Explanation

A nurse is assessing a client who was brought to the emergency department with an ankle injury presenting as swelling pain, and erythema. Which of the following should the nurse identify as part of the body s inflammatory response? (Select All that Apply.)

The nurse is monitoring the effectiveness of antiretroviral therapy (ART) for a patient with human immunodeficiency virus (HIV). What laboratory study result indicates the medications are effective?

A patient With HIV is being discharged on Zidovudine, Enfuvirtide, and Raltegravir. The patient asks why it is necessary to take so many medications. Which of the following responses by the nurse is the most appropriate?

A client with suspected aplastic anemia is scheduled for a bone marrow aspiration. What would be the best nursing action in the care of this client after a bone marrow aspiration from the left posterior iliac crest?

A client newly diagnosed with HIV asks, "Why did my sore throat and rash go away? Does this mean I'm better? Which is the best response to give to the client?

An RN is reviewing diagnostic tests for different types of anemia with a student nurse. Which of the following does the student correctly state is used for the diagnosis of types of anemia? (Select all that apply).

A client is tested for human immunodeficiency virus (HIV) infection with an enzyme-linked immunosorbent assay (ELISA), and the test result is positive. What would the nurse tell the client?