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 C
Explanation
Choice A rationale:
Transfusion-associated circulatory overload (TACO) is characterized by symptoms related to fluid overload, such as dyspnea and fluid accumulation, but not abdominal symptoms like abdominal pain, nausea, vomiting, and diarrhea.
Choice B rationale:
Transfusion-related acute lung injury (TRALI) primarily presents with respiratory symptoms and is not associated with gastrointestinal symptoms like nausea, vomiting, and diarrhea.
Choice C rationale:
Acute hemolytic reactions occur when there is a mismatch between the donor and recipient blood types, resulting in rapid destruction of transfused red blood cells.
Symptoms include abdominal pain, nausea, vomiting, and diarrhea, which are consistent with the client's presentation described in the question.
Choice D rationale:
Allergic reactions to blood transfusions typically present with symptoms like itching, hives, and flushing, but not with gastrointestinal symptoms like abdominal pain, nausea, vomiting, and diarrhea.
Correct Answer is D
Explanation
Choice A rationale:
This choice is incorrect.
While individuals with AB+ blood type are considered universal recipients for plasma components, they cannot receive blood from donors with the O- blood type.
Choice B rationale:
This choice is also incorrect.
AB+ individuals can receive blood from AB+ and AB- donors, but not exclusively from them.
Choice C rationale:
This choice is incorrect as well.
AB+ individuals can receive blood from AB+ donors, A+ donors, and B+ donors, but this statement does not provide a complete and accurate picture of their compatibility.
Choice D rationale:
This choice is correct.
Individuals with blood type AB+ can safely receive blood from donors with blood types AB+, A+, A-, or B+.
The rationale behind this is that AB+ individuals have both A and B antigens on their red blood cells and do not have anti-A or anti-B antibodies in their plasma.
Therefore, they can receive blood with ABO and RhD compatibility.
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