Which of the following solutions can be administered with a blood component?
0.9% sodium chloride
Lactated Ringers solution
5% dextrose/0.2% sodium chloride
5% dextrose/0.45% sodium chloride
The Correct Answer is A
A. 0.9% sodium chloride: Normal saline (0.9% sodium chloride) is the standard solution that can be administered with blood products. It is isotonic and does not cause hemolysis or alter the structure of red blood cells.
B. Lactated Ringers solution: Lactated Ringers solution is not used with blood products due to the potential for hemolysis when calcium is present, which can interfere with the clotting cascade and affect blood cell integrity.
C. 5% dextrose/0.2% sodium chloride: Dextrose solutions should not be used with blood components, as they can cause red blood cells to hemolyze, leading to hemolysis and complications in transfusion.
D. 5% dextrose/0.45% sodium chloride: This solution contains dextrose, which can cause red blood cell hemolysis and should not be used with blood products.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Cullen's sign: Cullen's sign is a bluish discoloration around the umbilicus, indicating possible internal bleeding or a ruptured ectopic pregnancy. It is unrelated to hypocalcemia.
B. Chvostek's sign: Chvostek's sign is a spasm or twitching of the facial muscles when the facial nerve is tapped, which is a classic sign of hypocalcemia due to low calcium levels affecting neuromuscular function.
C. Brudzinski's sign: Brudzinski's sign involves involuntary flexion of the knees and hips when the neck is flexed, indicative of meningitis. It is unrelated to hypocalcemia.
D. Kernig's sign: Kernig's sign involves resistance to leg extension when the hip is flexed and is indicative of meningitis. It is not associated with hypocalcemia.
Correct Answer is D
Explanation
A. Vital signs: Vital signs can reflect changes in fluid status, but they are not always sensitive to small shifts in fluid balance and can be affected by many other factors like medications.
B. Skin turgor: Skin turgor can be useful for assessing dehydration but is not a reliable indicator for tracking fluid balance over time, especially in older adults where skin elasticity naturally declines.
C. Daily input and output: Monitoring intake and output is useful, but it is not the most reliable for evaluating overall fluid balance, especially in cases of insensible loss or shifts in third spaces.
D. Daily weights: Weighing the patient daily is the most reliable method for monitoring fluid balance because it directly reflects changes in fluid retention or loss, particularly in acute or chronic conditions like heart failure or dehydration.
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