A nurse is providing discharge education to a client who experienced hemorrhage and received a blood transfusion. What should the nurse include in the client's education?
"You can resume normal activities immediately."
"Monitor for signs of infection at the transfusion site."
"Avoid consuming citrus fruits and juices."
"Expect dark-colored stools after the transfusion."
The Correct Answer is B
A) Incorrect. While resuming normal activities is important, the client should also be cautious and monitor for any complications after a blood transfusion.
B) Correct. Monitoring for signs of infection at the transfusion site is crucial to identify any potential complications such as infection or infiltration.
C) Incorrect. Consuming citrus fruits and juices is not contraindicated after a blood transfusion and does not directly impact post-transfusion care.
D) Incorrect. Dark-colored stools are not an expected outcome after a blood transfusion. It is important for the client to be aware of any unusual changes in stool color or other potential side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) Incorrect. Bright red blood in the stool typically indicates lower gastrointestinal bleeding, such as from hemorrhoids or anal fissures.
B) Correct. A tarry and sticky appearance of the stool, also known as melena, is characteristic of upper gastrointestinal bleeding. The dark color is due to the digestion of blood in the stomach.
C) Incorrect. A yellowish color of the stool is not associated with gastrointestinal bleeding. It can be related to other factors like diet or liver issues.
D) Incorrect. Clay-colored stools are pale and occur with problems in the biliary system, not with gastrointestinal bleeding.
Correct Answer is C
Explanation
A. Hypertension is not an early sign of hemorrhage; instead, hypotension occurs as blood loss progresses.
B. Bradycardia is not an expected response; tachycardia is more common due to compensatory mechanisms.
C. Tachypnea is an early indicator of internal bleeding as the body attempts to compensate for decreased oxygen delivery by increasing respiratory rate.
D. Hyperthermia is not associated with hemorrhage; instead, hypothermia can occur with significant blood loss.
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