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

Answer and Explanation

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.

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Correct Answer is ["100"]

Explanation

To calculate the IV flow rate, the following formula is used:

Flowrate(gtt/min) = Volume /Time× Dropfactor(gtt/mL)

Given:

Volume = 100 mL
Time = 60 minutes
Drop factor = 60 gtt/mL

Flowrate(gtt/min)= 10060× 60

=1.67×60

=100gtt/min (rounded to the nearest whole number)

A. Elevated blood pressure B. Negative Chvostek sign C. Constipation D. Tetany

Correct Answer is D

Explanation

A. Elevated blood pressure: Hypocalcemia is more likely to cause low blood pressure due to its effect on vascular tone and cardiac contractility, not elevated blood pressure.

B. Negative Chvostek sign: A negative Chvostek sign would be expected in clients with normal calcium levels. A positive Chvostek sign (twitching of the facial muscles when tapped) is a sign of hypocalcemia.

C. Constipation: Hypocalcemia does not typically cause constipation. In fact, hypercalcemia can lead to constipation.

D. Tetany: Tetany, which involves muscle cramps and spasms, is a common manifestation of hypocalcemia. It occurs due to increased neuromuscular excitability when calcium levels are low.

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Which of the following solutions can be administered with a blood component?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer dextrose 5% in water IV to infuse at 100 mL/60 min. The drop factor on the manual IV tubing is 60 gtt/mL. The nurse should set the IV flow rate to deliver how many gtt/min? (Round to the nearest whole number.)

Correct Answer is ["100"]

Explanation

A nurse is collecting data from a client who has a calcium level of 8 mg/dL (9.0-10.5 mg/dL). Which of the following manifestations should the nurse expect?

Correct Answer is D

Explanation

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