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 A

Explanation

A. Hemolytic anemia is characterized by increased RBC destruction, leading to anemia. This destruction may be caused by autoimmune disorders, infections, or inherited conditions like sickle cell disease.

B. Decreased RBC production is more characteristic of aplastic anemia or anemia of chronic disease.

C. Iron deficiency anemia, not hemolytic anemia, results from decreased iron intake.

D. An inability to absorb vitamin B12 is seen in pernicious anemia, not hemolytic anemia.

A. Release Of histamine from injured tissues B. Vasodilation in the area of injury C. Increased capillary permeability D. Migration of blood cells to the injured tissue E. Parasympathetic nervous system activation

Correct Answer is ["A","B","C","D"]

Explanation

A. Histamine is released by mast cells in response to injury, leading to vasodilation and increased capillary permeability.

B. Vasodilation increases blood flow to the affected area, causing redness and warmth.

C. Increased capillary permeability allows immune cells and proteins to reach the injury site, contributing to swelling.

D. Migration of white blood cells (WBCs) to the injured site helps fight infection and remove damaged tissue.

E. The parasympathetic nervous system is not involved in inflammation; the sympathetic nervous system is more likely to be activated in response to injury.

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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?

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Naxlex Comprehensive Predictor Exams

A nurse is teaching a client who has a new diagnosis of hemolytic anemia. Which of the following information should the nurse include in the teaching?

Correct Answer is A

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.)

Correct Answer is ["A","B","C","D"]

Explanation

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?

The nurse is providing discharge education for a client who will be taking ferrous sulfate orally. Which of the following statements should the nurse include in the teaching?

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?

should assess further before administering it.

The nurse is providing discharge teaching to a client newly diagnosed With HIV. Which of the following statements would the nurse include in the teaching to reduce the risk of opportunistic infections? Select all that apply.

The nurse is performing an assessment on a client with a diagnosis of anemia that developed as a result of blood loss after a traumatic injury. The nurse would expect to find which potential signs or symptoms in the client as a result Of severe blood loss anemia? Select all that apply.

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

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?