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 D

Explanation

A) This choice is incorrect because while blood pressure monitoring is essential for clients with chronic kidney disease, it is not specifically related to ESA therapy.

B) This choice is incorrect because serum potassium levels are important in chronic kidney disease, but they are not directly related to ESA therapy.

C) This choice is incorrect because dietary sodium intake is important in managing fluid balance in chronic kidney disease, but it is not directly related to ESA therapy.

D) This choice is correct. ESA therapy stimulates the production of red blood cells, and adequate iron levels are necessary for this process. Clients with chronic kidney disease often have decreased iron levels due to various factors, and iron supplementation is crucial for the success of ESA therapy.

Questions

A. Oranges B. Milk C. Green leafy vegetables D. White bread

Correct Answer is C

Explanation

A) This choice is incorrect because oranges are rich in vitamin C, which enhances iron absorption, but they do not contain significant amounts of iron.

B) This choice is incorrect because milk is not a good source of iron and may even hinder iron absorption when consumed in large quantities.

C) This choice is correct. Green leafy vegetables, such as spinach and kale, are excellent sources of iron and can help improve iron levels in clients with iron-deficiency anemia.

D) This choice is incorrect because white bread is not a significant source of iron and does not help in increasing iron levels.

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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 client with chronic kidney disease and anemia is prescribed erythropoiesis-stimulating agents (ESAs) as part of the treatment plan. The nurse educates the client about the importance of which parameter during ESA therapy?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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