A client with a bleeding disorder requires a treatment that promotes clotting and stops bleeding.
Which medication can the nurse suggest for this purpose?
"You should try oxygen therapy to improve oxygen-carrying capacity.”
"Consider erythropoietin injections to stimulate red blood cell production.”
"Hemostatic agents like vitamin K or tranexamic acid can help promote clotting and stop bleeding.”
"Iron therapy, either orally or intravenously, can increase your hemoglobin levels.”
The Correct Answer is C
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
A+ blood can be safely transfused to a client with blood type O-.
The rationale is that the recipient, in this case, does not have antibodies against the A antigen, which is present on A+ blood.
Therefore, there is no antigen-antibody reaction.
Choice B rationale:
B- blood can be safely transfused to a client with blood type O-.
The rationale is similar to choice A, as the recipient does not have antibodies against the B antigen, which is present on B- blood.
Choice C rationale:
AB+ blood contains both A and B antigens and RhD antigen, which can potentially react with antibodies present in a client with blood type O-.
Therefore, it is not safe to transfuse AB+ blood to a client with blood type O-.
Choice D rationale:
O+ blood can be safely transfused to a client with blood type O-.
The rationale is that O+ blood does not have A or B antigens, which could react with antibodies present in the recipient.
Choice E rationale:
O- blood is compatible with blood type O- because it does not contain A, B, or RhD antigens, which could be targeted by antibodies in the recipient.
Correct Answer is C
Explanation
Choice A rationale:
Choosing a site with infiltration or phlebitis is not appropriate for a blood transfusion.
Infiltration can lead to the transfused blood leaking into the surrounding tissues, and phlebitis can cause discomfort and complications.
A suitable site should be chosen for the transfusion.
Choice B rationale:
Using the same IV line for other medications without flushing it between medications can lead to drug interactions or contamination.
It is generally not recommended to mix blood transfusions with other medications in the same line.
Choice C rationale:
Avoiding sites with edema or infection is a crucial consideration when selecting an intravenous site for a blood transfusion.
Using a site with edema can make it difficult to insert the catheter, and using a site with infection can introduce pathogens into the bloodstream.
Choice D rationale:
Using a 24-gauge IV catheter for a blood transfusion may not be suitable for all patients.
The size of the catheter should be appropriate for the type of blood product being transfused and the patient's vein size.
A larger catheter may be necessary for blood products with higher viscosity.
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