Nokea
The nurse is gathering supplies for a transfusion of packed red blood cells (PRBCs). The nurse should obtain which intravenous (IV) fluid to accompany this transfusion?
- A. Lactated Ringers (LR)
- B. 0.9% saline
- C. 0.45% saline
- D. 3% saline
Correct Answer: B
Rationale: 0.9% saline is the only IV fluid compatible with PRBC transfusions, as it does not cause hemolysis or clotting. Lactated Ringer’s, 0.45% saline, and 3% saline can cause red blood cell damage or electrolyte imbalances, making them unsuitable.
You may also like to solve these questions
A client will receive I.V. midazolam hydrochloride (Versed) during surgery. Which of the following should the nurse determine as a therapeutic effect?
- A. Amnesia.
- B. Nausea.
- C. Mild agitation.
- D. Blurred vision.
Correct Answer: A
Rationale: Midazolam's primary therapeutic effect is amnesia, reducing recall of surgical events. Nausea, agitation, and blurred vision are potential side effects, not desired outcomes.
The nurse is caring for a client with a femoral fracture in traction. Which observation indicates a potential complication?
- A. Client reports mild discomfort.
- B. Traction ropes are aligned with the pulley.
- C. Foot is pale and cool to touch.
- D. Pin sites are clean and dry.
Correct Answer: C
Rationale: A pale, cool foot suggests impaired circulation, a serious complication requiring immediate attention.
The nurse is caring for a client who has had a gastroscopy. Which of the following signs and symptoms may indicate that the client is developing a complication related to the procedure? Select all that apply.
- A. The client has a sore throat.
- B. The client appears drowsy following the procedure.
- C. The client has epigastric pain.
- D. The client experiences hematemesis.
Correct Answer: C,D
Rationale: Epigastric pain and hematemesis after a gastroscopy may indicate complications such as perforation or bleeding. A sore throat and drowsiness are expected post-procedure effects due to throat irritation and sedation.
Which of the following symptoms might indicate that a client was developing tetany after a subtotal thyroidectomy?
- A. Pains in the joints of the hands and feet.
- B. Tingling in the fingers.
- C. Bleeding on the back of the dressing.
- D. Tension on the suture line.
Correct Answer: B
Rationale: Tetany, caused by hypocalcemia from parathyroid gland damage during thyroidectomy, presents with tingling in the fingers, muscle cramps, or spasms.
The emergency department (ED) nurse is caring for a client with acetaminophen toxicity. The nurse anticipates a prescription for which medication?
- A. acetylcysteine
- B. deferoxamine mesylate
- C. succimer
- D. flumazenil
Correct Answer: A
Rationale: Acetylcysteine is the antidote for acetaminophen toxicity, protecting the liver by restoring glutathione levels.