A client diagnosed with hemophilia A needs a blood product to increase their fibrinogen level.
Which blood product is most suitable for this purpose?
Whole blood.
Packed red blood cells (PRBCs)
Fresh frozen plasma (FFP)
Platelets.
The Correct Answer is C
Choice A rationale:
Whole blood.
Rationale: Whole blood contains red blood cells, plasma, platelets, and clotting factors.
While it can increase fibrinogen levels, it also contains other components that may not be necessary for a patient with hemophilia A.
Fresh frozen plasma (FFP) is a more specific choice for increasing fibrinogen levels.
Choice B rationale:
Packed red blood cells (PRBCs)
Rationale: PRBCs primarily consist of red blood cells and are not a suitable choice for increasing fibrinogen levels.
Hemophilia A is a clotting disorder, and fibrinogen is a clotting factor found in plasma.
PRBCs do not contain significant amounts of plasma or clotting factors.
Choice C rationale:
Fresh frozen plasma (FFP)
Rationale: FFP is the most suitable choice for increasing fibrinogen levels in a patient with hemophilia A.
FFP contains all the clotting factors, including fibrinogen, and can help correct coagulation abnormalities in these patients.
Choice D rationale:
Platelets.
Rationale: Platelets are involved in the clotting process, but they do not contain significant amounts of fibrinogen.
Platelets are used to treat conditions where there is a deficiency in platelet count or function, not to increase fibrinogen levels.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
Choice A rationale:
Transfusion-associated circulatory overload (TACO) is not caused by antibodies in the donor's plasma.
It is primarily a result of excessive volume administered during a transfusion.
Choice B rationale:
Transfusion-related acute lung injury (TRALI) is indeed a leading cause of transfusion-related mortality.
TRALI is characterized by acute respiratory distress and is caused by antibodies in the donor's plasma that react with leukocytes in the recipient's lungs.
Choice C rationale:
Febrile nonhemolytic reaction is not the most common type of transfusion reaction.
It is relatively common but not the most common.
Other reactions, like allergic reactions or acute hemolytic reactions, can also occur.
Choice D rationale:
Allergic reactions are not typically caused by ABO incompatibility between the donor and recipient blood.
ABO incompatibility is more likely to lead to acute hemolytic reactions.
Allergic reactions are usually triggered by sensitivities to plasma proteins or allergens in the blood product.
Choice E rationale:
Bacterial contamination of blood products can indeed result in sepsis.
This is a severe and life-threatening complication of transfusion, making it important to ensure the safety of blood products and proper handling to prevent contamination.
Correct Answer is B
Explanation
Choice A rationale:
AB+ blood type contains both A and B antigens as well as the Rh antigen (positive)
Blood type O+ has neither A nor B antigens but does have the Rh antigen.
Therefore, AB+ blood cannot be safely transfused to a client with blood type O+ as it would lead to a mismatch in ABO compatibility.
Choice B rationale:
O- blood type is the universal donor for red blood cell transfusions.
It lacks both A and B antigens as well as the Rh antigen, making it compatible with all other blood types.
Since the client in question has blood type O+, which is Rh-positive, O- blood can be safely transfused without any ABO or Rh incompatibility.
Choice C rationale:
A+ blood type contains A antigens and the Rh antigen (positive)
Blood type O+ lacks A antigens but does have the Rh antigen.
Therefore, A+ blood is not compatible with O+ blood due to ABO incompatibility.
Choice D rationale:
B+ blood type contains B antigens and the Rh antigen (positive)
Blood type O+ lacks B antigens but does have the Rh antigen.
Therefore, B+ blood is not compatible with O+ blood due to ABO incompatibility.
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