A nurse is preparing to administer a blood transfusion to a client with significant blood loss. What is the nurse's most important action before starting the transfusion?
Check the client's blood pressure.
Verify the client's identification using two identifiers.
Assess the client's oxygen saturation level.
Obtain consent for the blood transfusion.
The Correct Answer is B
A) Incorrect. Checking the client's blood pressure is important but not the most critical action before starting a blood transfusion.
B) Correct. The most crucial step before administering any intervention, including a blood transfusion, is to verify the client's identification using two identifiers (e.g., name and date of birth or medical record number) to ensure the right blood is given to the right client.
C) Incorrect. While assessing the client's oxygen saturation is important, it is not the priority before starting a blood transfusion.
D) Incorrect. Obtaining consent for the blood transfusion is essential, but verifying the client's identification is more critical before administering the transfusion.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A) Correct. Electric razors are safer than traditional razors because they reduce the risk of cuts and bleeding in clients with bleeding disorders.
B) Incorrect. Adequate hydration is essential for overall health, and limiting fluid intake is not recommended for clients with bleeding disorders.
C) Incorrect. High-impact exercises can increase the risk of injury and bleeding in clients with bleeding disorders. Low-impact exercises are preferable.
D) Incorrect. Nonsteroidal anti-inflammatory drugs (NSAIDs) can increase the risk of bleeding and should be avoided by clients with bleeding disorders.
Correct Answer is C
Explanation
A) Incorrect. Hemophilia does not increase the risk of forming blood clots. In fact, it causes difficulty in forming blood clots, leading to an increased risk of bleeding and hemorrhage.
B) Incorrect. Platelet count is not directly affected in hemophilia. It is primarily a disorder of clotting factors.
C) Correct. Hemophilia is a genetic disorder characterized by a deficiency or absence of specific clotting factors, which impairs the blood's ability to clot properly.
D) Incorrect. Hemophilia does not affect the number of red blood cells, which are responsible for oxygen transport.
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