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 A
Explanation
Choice A rationale:
The nurse should obtain post-transfusion laboratory tests immediately after the transfusion to assess the patient's response to the blood transfusion.
These tests may include a complete blood count (CBC) to evaluate hemoglobin and hematocrit levels.
Choice B rationale:
Returning any unused blood product to the blood bank is not the immediate action needed after a transfusion.
Post-transfusion laboratory tests and patient assessment take precedence.
Choice C rationale:
Removing the IV catheter without flushing it immediately after the transfusion is not appropriate.
The IV site should be maintained for a period after the transfusion to ensure there are no adverse reactions, and the catheter should be flushed according to the facility's protocol.
Choice D rationale:
Educating the patient about the procedure is important but should be done before the transfusion, not immediately after.
Immediate post-transfusion care involves monitoring the patient and obtaining necessary laboratory tests.
Correct Answer is C
Explanation
Choice A rationale:
Oxygen therapy is not a medication used to promote clotting or stop bleeding.
Its primary purpose is to improve oxygen delivery to tissues, especially in cases of hypoxia.
Choice B rationale:
Erythropoietin injections are used to stimulate red blood cell production in conditions like anemia.
While it can indirectly help improve oxygen-carrying capacity, it does not promote clotting or stop bleeding.
Choice C rationale:
Hemostatic agents like vitamin K or tranexamic acid can help promote clotting and stop bleeding.
Vitamin K is essential for the synthesis of clotting factors in the liver, while tranexamic acid is an antifibrinolytic agent that prevents the breakdown of clots.
These medications are often used in bleeding disorders to control hemorrhage.
Choice D rationale:
Iron therapy is used to treat iron-deficiency anemia and increase hemoglobin levels.
It does not have a direct role in promoting clotting or stopping bleeding.
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