A nurse is caring for a client who experienced a hemorrhage and received a blood transfusion. Which clinical manifestation should the nurse monitor to determine the effectiveness of the transfusion?
Respiratory rate
Blood pressure
Urinary output
Hemoglobin level
The Correct Answer is D
A) Incorrect. While the respiratory rate is an important vital sign to monitor, it does not directly indicate the effectiveness of a blood transfusion.
B) Incorrect. Blood pressure is a critical vital sign, but it is not specific to assessing the effectiveness of a blood transfusion.
C) Incorrect. Urinary output is essential for assessing kidney function and fluid balance, but it does not directly reflect the impact of a blood transfusion.
D) Correct. Monitoring the hemoglobin level is crucial to determine if the blood transfusion has been effective in increasing the client's red blood cell count and improving oxygen-carrying capacity.
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Related Questions
Correct Answer is C
Explanation
A) Incorrect. Avoiding contact sports is a relevant safety measure for some individuals with bleeding disorders, but it is not the priority in preventing cuts and bleeding at home.
B) Incorrect. While keeping the home environment cool may be helpful for some individuals with certain bleeding disorders, it is not the primary safety measure.
C) Correct. Using electric razors for shaving can prevent cuts and reduce the risk of bleeding in clients with bleeding disorders.
D) Incorrect. Taking aspirin daily is not recommended for clients with bleeding disorders as it can increase the risk of bleeding due to its antiplatelet effects.
Correct Answer is A
Explanation
A) Correct. Increasing consumption of vitamin C-rich foods can enhance iron absorption, which is essential for replenishing iron stores in clients at risk of anemia due to hemorrhage.
B) Incorrect. Red meat and poultry products are good sources of heme iron, which is highly absorbable and beneficial for individuals at risk of anemia.
C) Incorrect. Leafy green vegetables are excellent sources of non-heme iron, which is also essential for iron intake in the diet.
D) Incorrect. Dairy products do not significantly impact iron intake and can be included in the diet unless the client has specific dietary restrictions.
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