Question

_8. The nurse is assessing a client during a transfusion of a unit of whole blood. The client acutely develops cough, shortness of breath, elevated blood pressure, and distended neck veins. The RN suspects the patient is having a reaction and will plan to administer A. Allergic reaction, Diphenhydramine B. Anxiety reaction, Lorazepam C. Fluid overload reaction, Furosemide D. Infection reaction, Azithromycin 9. The RN is caring for a client with extreme fatigue who presents to the emergency room with a hemoglobin of 6.0 The RN prepares to administer the following blood product to increase the hemoglobin. A. Whole blood B. Packed red blood cells C. Fresh frozen plasma D. Platelet concentrate 10. Albumin pharmacological action is to expand circulating blood volume by exerting oncotic pressure. True/False

Answer 1

8.

The nurse assessing a client during a whole blood transfusion. the client acutely develops cough, shortness of breath, elevated blood pressure and distended neck veins. The RN should suspect the patient is having a Fluid overload reaction and will plan to administer Furosemide.

Explanation - Whole blood transfusion commonly causes fluid overload in body. In this case, there may be pulmonary edema due to fluid overload which causes shortness of breath and cough. Elevated blood pressure with distended neck veins also indicates fluid overload.

Furosemide is a diuretics drug, it helps to excrete extra fluid from the body which will be very helpful for this condition.

9.

The RN is caring for a client with extreme fatigue.

The hemoglobin level of this client is 6.0 mg/dl

Answer - The RN should administer Packed Red cells.

Explanations - Packed red cells(PRC) is also known as Packed red blood cells(PRBC) is a concentrated red blood cell separated from whole blood. PRC is mainly transfused in severe anemia(Hb< 7 mg/dl ). It increases hemoglobin level more than whole blood and decreases the risk of volume overload.

10.

Albumin pharmacological action is to expand circulating blood volume by exerting oncotic pressure.

TRUE

the oncotic pressure is also known as colloid osmotic pressure, it's increased by albumin. This pressure is pharmacologically induced by albumin transfusion during hypovolemic hypotension.