A client with anemia is receiving packed red blood cell (PRBC) transfusions. The nurse should prioritize which action during the transfusion process?

Monitoring the client's temperature

Administering pain medication

Obtaining informed consent

Checking the client's blood type

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because monitoring the client's temperature is important, but it is not the priority during the PRBC transfusion process.

B) This choice is incorrect because administering pain medication may be necessary if the client is experiencing discomfort during or after the transfusion, but it is not the priority action.

C) This choice is incorrect because obtaining informed consent is an essential step before any medical intervention, including transfusions, but it is not the priority during the transfusion process.

D) This choice is correct. Checking the client's blood type is a priority before administering a PRBC transfusion to ensure compatibility and prevent adverse reactions. Transfusion reactions can be life-threatening, so verifying the blood type is crucial for client safety.

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Correct Answer is A

Explanation

A) This choice is correct. A low mean corpuscular volume (MCV) indicates microcytic red blood cells, which are characteristic of iron-deficiency anemia.

B) This choice is incorrect because hemolytic anemia typically presents with a normal or elevated MCV, not a low MCV.

C) This choice is incorrect because megaloblastic anemia is associated with an elevated MCV due to the presence of larger-than-normal red blood cells (macrocytic).

D) This choice is incorrect because pernicious anemia is associated with a macrocytic MCV, not a microcytic MCV.

A. Iron-deficiency anemia B. Aplastic anemia C. Sickle cell anemia D. Megaloblastic anemia

Correct Answer is D

Explanation

A) This choice is incorrect because iron-deficiency anemia is associated with microcytic and hypochromic red blood cells, not macrocytic and normochromic cells.

B) This choice is incorrect because aplastic anemia typically presents with normocytic and normochromic red blood cells.

C) This choice is incorrect because sickle cell anemia does not cause macrocytic and normochromic red blood cells.

D) This choice is correct. Megaloblastic anemia is characterized by macrocytic (large) and normochromic (normal color) red blood cells, which are the result of impaired DNA synthesis during red blood cell production. This condition is often caused by vitamin B12 or folate deficiency.

Questions

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A client with anemia is receiving packed red blood cell (PRBC) transfusions. The nurse should prioritize which action during the transfusion process?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's laboratory results and finds a low mean corpuscular volume (MCV). Which type of anemia does this finding suggest?

Correct Answer is A

Explanation

A client is diagnosed with anemia, and laboratory results show macrocytic and normochromic red blood cells. A nurse suspects a specific type of anemia based on these findings. Which type is most likely to be associated with this result?

Correct Answer is D

Explanation

A nurse is caring for a client with anemia. Which diagnostic test should the nurse anticipate to determine the cause of the anemia and assess the size and shape of the red blood cells?

A nurse is assessing a client with suspected anemia. Which laboratory test is commonly used to confirm the diagnosis of anemia?

A nurse is caring for a client with sickle cell anemia during a vaso-occlusive crisis. Which of the following clinical manifestations is most likely to be observed during this crisis?

A client with anemia is prescribed ferrous sulfate, an oral iron supplement. The nurse instructs the client to take the medication on an empty stomach. Which beverage should the nurse recommend the client to avoid while taking the supplement?

A client diagnosed with sickle cell anemia is admitted to the hospital during a vaso-occlusive crisis. The nurse understands that which of the following interventions is a priority in managing this crisis?

A nurse is caring for a client with a low reticulocyte count. Which type of anemia is most likely to be associated with this finding?

A nurse is caring for a client diagnosed with iron-deficiency anemia. The client asks the nurse about dietary changes to improve their condition. Which food item should the nurse recommend to the client to increase their iron intake?

A client with anemia is prescribed ferrous sulfate supplements. A nurse should instruct the client to take the supplement: