Question

1. A client involved in a motor vehicle accident arrives at the emergency department unconscious and severely hypotensive. The nurse suspects the client has several fractures in the pelvis and legs. Which parenteral fluid is the best choice for the client's current condition? a. Fresh frozen plasma b. Normal saline solution C. Lactated Ringer's solution d. Packed red blood cells (RBCs) 2. A client undergoing a hip replacement has autologous blood on standby if a transfusion is needed. What is the primary advantage of autologous transfusions? a. Safe transfusion for clients with a history of transfusion reactions b. Prevention of viral infections from another person's blood C. Avoidance of complications in clients with alloantibodies d. Prevention of allo immunization 3 The nurse caring for a client with acute liver failure should expect which assessment finding? a. Elevated albumin level b. Elevated blood pressure c. Decreased pulse d. Generalized edema 4. The nurse is completing a pre transfusion assessment to determine a female client's history of previous transfusions as well as previous reactions to transfusions. Which is the most important information to obtain from this client before the transfusion? a. Diagnosis b. Age c. Number of pregnancies d. Family history of transfusion reactions 5. A nurse is caring for a client who is not able to take food orally for 10 days and who will be on IV therapy during that period. The nurse knows that the client will likely receive which type of nutrition? a. Metabolizing nutrition b. Peripheral parenteral nutrition C. Total parenteral nutrition d. Nasogastric feed 6. A nurse is caring for a client receiving total parenteral nutrition (TPN). Which should the nurse educate the client about regarding TPN therapy? Select all that apply. a. TPN is an isotonic solution. b. TPN has three primary components: proteins, carbohydrates, and fats. C. TPN has a high glucose concentration. d. Lipids are added to decrease caloric value. e. TPN requires a PICC line or central venous access.

Answer 1

Q.01- Correct answer is option B- normal salaine,because patient is on hypotensive condition for mentaining intra vascular fluid volume sodium chloride is needed then blood pressure increase so normal saline solution is the best parental fluid for the clients current condition.( Option A and D can't arrange immediately.option C ringer lactate is not better than normal saline in hypotensive stage.)

Q.02-Correct answer is option A. If Client having histroy of trafusion reaction in that case autologous blood transfusion is the best to prevent reaction.so it is the primary advantage.option B,C,D are also correct but these are secondary.

Q.03-Correct answer is option D.In liver failure fluid volume build up in body like ascites, cerebral edema so generalized edema can seen in this case.option A albumin level decrease in this case not increase.option B and C may be happen or not..

Q.04-correct answer is D.family history of reaction is the most important than other option A,B and C. Because diagnosis, age and pregnancy is less important than history of reaction during blood transfusion.

Q.05-Correct answer is B. client had recive iv therapy during that period so it is peripheral parental nutrition.option A is incorrect,option c given through central vein due to large molecules.option D is nasogastric tube feeding.so both are not similarity with the question.

Q.06-Correct answer is A,B and E.option C andD is wrong about TPN so no need to educate about that to client.