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 D
Explanation
Choice A rationale:
Lactated Ringer's solution is a volume expander, not a therapy for improving oxygen-carrying capacity.
It can increase blood volume but does not address the underlying cause of anemia or hypoxia.
Choice B rationale:
Hemostatic agents like protamine sulfate are used to reverse the anticoagulant effects of heparin.
They are not indicated for improving oxygen-carrying capacity in anemic patients.
Choice C rationale:
Oxygen therapy delivered through a nasal cannula or mask is indeed a therapy to enhance oxygen-carrying capacity.
It provides supplemental oxygen to improve oxygen saturation in the blood, which can alleviate hypoxia in anemic patients.
Choice D rationale:
Erythropoietin injections can stimulate the production of red blood cells in the bone marrow.
This therapy can increase the patient's hemoglobin levels and improve oxygen-carrying capacity, making it a suitable recommendation for a patient with hypoxia due to anemia.
For , choices A, C, and D are correct as they are examples of volume expanders that can increase blood volume and circulation without adding blood cells.
For , choice C is correct as hemostatic agents like vitamin K or tranexamic acid can promote clotting and stop bleeding in a patient with a bleeding disorder.
For , choice D is correct as erythropoietin injections can stimulate the production of red blood cells and help alleviate hypoxia in a patient with anemia.
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.
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