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 C

Explanation

A) This choice is incorrect because hemoglobin electrophoresis is used to identify abnormal hemoglobin types, not to assess the size and shape of red blood cells.

B) This choice is incorrect because a reticulocyte count measures the number of immature red blood cells in the blood and helps determine if the bone marrow is responding appropriately to anemia, but it does not assess the size and shape of red blood cells.

C) This choice is correct. A peripheral blood smear is used to examine the morphology of red blood cells, including their size, shape, and appearance. It can help identify different types of anemia and determine the cause of anemia.

D) This choice is incorrect because serum iron levels provide information about iron status but do not directly assess the size and shape of red blood cells.

A. Orange juice B. Milk C. Tea D. Carbonated water

Correct Answer is A

Explanation

A) This choice is correct. Taking iron supplements with orange juice or other vitamin C-rich beverages enhances iron absorption due to the presence of vitamin C, which facilitates the absorption of non-heme iron.

B) This choice is incorrect because milk can inhibit iron absorption when taken with iron supplements.

C) This choice is incorrect because tea, especially black tea, contains tannins that can hinder iron absorption.

D) This choice is incorrect because carbonated water does not enhance iron absorption.

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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 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?

Correct Answer is C

Explanation

A nurse is caring for a client diagnosed with anemia who is receiving iron supplementation. The nurse should instruct the client to take the iron supplement with which type of beverage to enhance absorption?

Correct Answer is A

Explanation

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