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 C
Explanation
Acute hemolytic reaction.
Choice A rationale:
A febrile nonhemolytic reaction typically presents with fever, chills, and rigors but is not associated with back pain, chest pain, dyspnea, or jaundice.
It is often caused by antibodies to leukocytes or platelets in the donor's blood.
This reaction is usually mild and self-limiting.
Choice B rationale:
Allergic reactions typically present with symptoms like urticaria, pruritus, flushing, and can include mild to moderate fever, but they do not cause back pain, chest pain, dyspnea, or jaundice.
These reactions are usually associated with sensitivity to plasma proteins or allergens in the blood product.
Choice C rationale:
Acute hemolytic reactions involve the rapid destruction of red blood cells, leading to the release of hemoglobin into the bloodstream.
This can cause fever, chills, back pain, chest pain, dyspnea, and jaundice, making it the most likely reaction in this case.
It is usually due to ABO incompatibility between the donor and recipient blood.
Choice D rationale:
Transfusion-associated circulatory overload (TACO) typically presents with symptoms related to volume overload, such as pulmonary edema, hypertension, and tachycardia.
It does not typically manifest with fever, chills, back pain, chest pain, dyspnea, or jaundice.
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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