A client with anemia is receiving packed red blood cell (PRBC) transfusions. The nurse should prioritize which action during the transfusion process?

Monitoring the client's temperature

Administering pain medication

Obtaining informed consent

Checking the client's blood type

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because monitoring the client's temperature is important, but it is not the priority during the PRBC transfusion process.

B) This choice is incorrect because administering pain medication may be necessary if the client is experiencing discomfort during or after the transfusion, but it is not the priority action.

C) This choice is incorrect because obtaining informed consent is an essential step before any medical intervention, including transfusions, but it is not the priority during the transfusion process.

D) This choice is correct. Checking the client's blood type is a priority before administering a PRBC transfusion to ensure compatibility and prevent adverse reactions. Transfusion reactions can be life-threatening, so verifying the blood type is crucial for client safety.

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Correct Answer is A

Explanation

A) This choice is correct. Vitamin C enhances the absorption of non-heme iron (the type of iron found in plant-based foods and supplements), so increasing vitamin C intake can help improve iron absorption. This can help differentiate between iron-deficiency anemia (improved iron absorption with increased vitamin C) and anemia of chronic disease (improved iron absorption with decreased vitamin C intake).

B) This choice is incorrect because increasing folate intake may help with megaloblastic anemia caused by folate deficiency, but it does not directly differentiate between iron-deficiency anemia and other types of anemia.

C) This choice is incorrect because increasing vitamin B12 intake does not help differentiate between iron-deficiency anemia and other types of anemia.

D) This choice is incorrect because increasing protein intake is important for overall health but does not directly help differentiate between iron-deficiency anemia and other types of anemia.

A. Serum ferritin levels B. Erythrocyte sedimentation rate (ESR) C. Total iron-binding capacity (TIBC) D. White blood cell count (WBC)

Correct Answer is A

Explanation

A) This choice is correct. Serum ferritin levels are used to assess the body's iron stores. Ferritin is a protein that stores iron in the body, and low levels of serum ferritin indicate iron deficiency.

B) This choice is incorrect because the erythrocyte sedimentation rate (ESR) is a nonspecific indicator of inflammation and is not directly related to iron stores.

C) This choice is incorrect because total iron-binding capacity (TIBC) measures the amount of iron that can be bound to transferrin, a protein that transports iron in the blood, but it does not directly assess iron stores.

D) This choice is incorrect because the white blood cell count (WBC) is not directly related to iron stores or the evaluation of anemia.

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A client with anemia is receiving packed red blood cell (PRBC) transfusions. The nurse should prioritize which action during the transfusion process?

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Naxlex Comprehensive Predictor Exams

A client is suspected to have anemia. The nurse advises the client to increase the intake of which dietary component to help differentiate between iron-deficiency anemia and other types of anemia?

Correct Answer is A

Explanation

A client with anemia is undergoing diagnostic evaluation. The nurse anticipates that which laboratory test will be ordered to assess the body's iron stores?

Correct Answer is A

Explanation

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