A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take?

Administer the transfusion through a 25-gauge saline lock.

Administer the plasma immediately after thawing.

Transfuse the plasma over 4 hr.

Hold the transfusion if the client is actively bleeding.

Answer and Explanation

The Correct Answer is B

A)   Administering the transfusion through a 25-gauge saline lock might not be appropriate as it may cause hemolysis or obstruct the flow of plasma.
B)   Administering the plasma immediately after thawing is crucial to ensure the effectiveness of the transfusion and to prevent degradation of the plasma components.
C)   Transfusing the plasma over 4 hours is a standard practice, but the priority is administering it promptly after thawing.
D)   Holding the transfusion if the client is actively bleeding is inappropriate since the client is losing blood which needs to be replaced. Furthermore, fresh frozen plasma contains clotting factors which are beneficial for a client whose cause of bleeding is clotting factor deficiencies.

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Correct Answer is ["69"]

Explanation

To calculate the daily protein requirement for the client, first convert the weight from pounds to kilograms, knowing that 1 kilogram equals 2.2 pounds.

The client's weight in kilograms is 190 lb divided by 2.2, which equals approximately

86.36 kg.

Then, multiply the weight in kilograms by the recommended dietary allowance (RDA) of protein, which is 0.8 g/kg. So, 86.36 kg multiplied by 0.8 g/kg equals about

69.09 g. Rounding to the nearest whole number, the client should receive 69 grams of protein daily.

A. Pad the upper two side rails of the client's bed. B. Maintain peripheral IV access. C. Teach assistive personnel how to apply restraints. D. Keep a padded tongue blade at the client's bedside. E. Keep a padded tongue blade at the client's bedside.

Correct Answer is A

Explanation

A) Padding the upper two side rails of the client's bed helps prevent injury during a seizure by reducing the risk of head trauma.
B) Maintaining peripheral IV access may not directly address the client's safety during a seizure.
C) Teaching assistive personnel to apply restraints is not appropriate for managing seizures and may not be indicated unless other safety measures have failed.
D) Keeping a padded tongue blade at the client's bedside is not necessary and may not be safe if the client experiences a seizure.

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A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["69"]

Explanation

A nurse on the medical-surgical unit is caring for a client who has a seizure disorder. Which of the following interventions should the nurse include in the plan of care?

Correct Answer is A

Explanation

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