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

1. Answer ; C) Lactated Ringers solution.

Reason ; In the given case the client is experiencing severely decreased blood pressure and the health care needs to provide some infusion. Among the given fluids the above mentioned fluid is more appropriate and effective than the other drugs. It is also more effective than normal saline.

2. Answer ; B) prevention of viral infection from another person's blood

Reason; All the option provided in the question are important and real advantages of these type of transfusion. But the above mentioned statement is the primary purpose and most effectively considered advantages from these types of blood transfusion.

3. Answer ; D) generalized edema.

Reason ; If a client experience liver failure, the will exhibit some notifiable signs and symptoms. Among the given option the above mentioned sign is evolved due to the decrease albumin amount in the plasma.Other option given are contradictory to the actual symptoms that may seen in these condition.

4. Answer ; A) Diagnosis

5. Answer ; C) Total parenteral nutrition

7. Answer ; C) TPN has high glucose concentration.
E) TPN requires PICC line or Central venous access.