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","B","C","E"]
Explanation
Choice A rationale:
Ensuring that blood products meet quality and safety standards is a fundamental aspect of blood transfusion safety.
Blood products must be properly screened and tested for infectious diseases and compatibility to reduce the risk of adverse reactions in the recipient.
Choice B rationale:
Using the right blood product for the right patient at the right time is a critical safety measure.
Administering the wrong blood type or product can lead to severe and life-threatening reactions, such as hemolytic transfusion reactions.
Choice C rationale:
Applying a barcode system or electronic verification system for patient and product identification is essential for ensuring that the correct blood product is matched to the right patient.
This technology helps prevent administration errors.
Choice D rationale:
Administering blood products using reusable equipment is not recommended due to the risk of cross-contamination and infection transmission.
Single-use, disposable equipment is the standard for blood transfusion to enhance safety.
Choice E rationale:
Disposing of used blood products and materials according to hospital policy is crucial to prevent potential contamination and reduce the risk of infection transmission.
Proper disposal procedures are a part of overall transfusion safety protocols.
Choice D is not a recommended safety measure as using reusable equipment for blood transfusions can increase the risk of contamination and transmission of infections.
Therefore, it should not be included as part of blood transfusion safety measures.
Correct Answer is B
Explanation
Choice A rationale:
Verifying the patient's identification is an essential step in patient safety, but it alone does not ensure transfusion safety.
Transfusion safety involves multiple steps beyond identification.
Choice B rationale:
Maintaining aseptic technique and infection control practices is crucial during a blood transfusion.
This includes using sterile equipment, wearing gloves, and following proper hand hygiene.
Infection can be a severe complication of transfusion if proper precautions are not taken.
Choice C rationale:
Administering blood products using old and sterile equipment is not a safe practice.
Blood transfusions require the use of fresh, sterile equipment to prevent contamination and ensure patient safety.
Choice D rationale:
Monitoring the patient's condition only after the transfusion is not sufficient to ensure safety.
Continuous monitoring during the transfusion is necessary to detect and respond to any adverse reactions promptly.
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