The client has an IV of dextrose 5% in 0.45% normal saline. The physician has ordered a transfusion of one unit of packed red blood cells (PRBCs).
Before hanging the blood, the nurse will prime the blood tubing with which of the following solutions?
0.9% sodium chloride.
Lactated Ringer's.
5% dextrose.
5% dextrose in 0.45% sodium chloride.
5% dextrose in 0.45% sodium chloride.
The Correct Answer is A
This is the only solution that is isotonic and compatible with blood products. It will not cause hemolysis or clotting of the blood cells.
Choice B is wrong because lactated Ringer’s is a balanced electrolyte solution that contains calcium, which can cause clotting of the blood cells.
Choice C is wrong because 5% dextrose is a hypotonic solution that can cause hemolysis of the blood cells.
Choice D is wrong because 5% dextrose in 0.45% sodium chloride is a hypertonic solution that can cause hemolysis of the blood cells.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","D"]
Explanation
Furosemide is a loop diuretic that causes the kidneys to excrete more water and salt, which can lead to dehydration and electrolyte imbalance.
Electrolyte imbalance can cause muscle cramps, numbness and tingling, weakness and fatigue, and other symptoms.
Therefore, the client should monitor for these signs and report them to the doctor if they occur.
Choice B is wrong because dry mouth is not a sign of electrolyte imbalance, but rather a sign of dehydration.
Dehydration can also cause thirst, decreased urination, drowsiness, and confusion.
Choice E is wrong because tachycardia is not a sign of electrolyte imbalance, but rather a sign of hypovolemia (low blood volume) or hypotension (low blood pressure).
Furosemide can lower blood pressure by reducing fluid volume in the body.
Therefore, the client should also monitor their blood pressure and pulse regularly while taking furosemide.
Correct Answer is A
Explanation
Oral potassium supplements can cause stomach irritation or laxative effect if taken without enough fluid or food.
Taking the medication with food or a full glass of water can help prevent these side effects and improve absorption.
Choice B is wrong because taking the medication on an empty stomach with a sip of water can increase the risk of stomach irritation or laxative effect and reduce absorption.
Choice C is wrong because taking the medication with milk or antacids can interfere with the absorption of potassium and cause hyperkalemia (high blood potassium levels).
Choice D is wrong because taking the medication with grapefruit juice can also interfere with the absorption of potassium and cause hyperkalemia.
Grapefruit juice can also interact with some medications that affect potassium levels, such as angiotensin-converting enzyme (ACE) inhibitors and potassium- sparing diuretics.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today