A nurse is caring for a client who experienced a hemorrhage and received a blood transfusion. Which clinical manifestation should the nurse monitor to determine the effectiveness of the transfusion?

Respiratory rate

Blood pressure

Urinary output

Hemoglobin level

Answer and Explanation

The Correct Answer is D

A) Incorrect. While the respiratory rate is an important vital sign to monitor, it does not directly indicate the effectiveness of a blood transfusion.

B) Incorrect. Blood pressure is a critical vital sign, but it is not specific to assessing the effectiveness of a blood transfusion.

C) Incorrect. Urinary output is essential for assessing kidney function and fluid balance, but it does not directly reflect the impact of a blood transfusion.

D) Correct. Monitoring the hemoglobin level is crucial to determine if the blood transfusion has been effective in increasing the client's red blood cell count and improving oxygen-carrying capacity.

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Correct Answer is A

Explanation

A) Correct. Arteriography is a radiographic procedure that uses contrast dye to visualize the blood vessels and can precisely identify the location and cause of bleeding, especially in cases of significant hemorrhage.

B) Incorrect. An electrocardiogram (ECG) is used to assess the heart's electrical activity and is not relevant to identifying the location of bleeding.

C) Incorrect. A chest X-ray may be performed for various respiratory or cardiovascular assessments, but it is not specific to identifying the cause of bleeding.

D) Incorrect. A complete blood count (CBC) provides valuable information about the client's red blood cells and hemoglobin levels but does not directly identify the exact location and cause of bleeding.

A. "Avoid participating in contact sports." B. "Keep the home environment cold to prevent vasodilation." C. "Use electric razors for shaving to prevent cuts." D. "Take aspirin daily to reduce the risk of clot formation."

Correct Answer is C

Explanation

A) Incorrect. Avoiding contact sports is a relevant safety measure for some individuals with bleeding disorders, but it is not the priority in preventing cuts and bleeding at home.

B) Incorrect. While keeping the home environment cool may be helpful for some individuals with certain bleeding disorders, it is not the primary safety measure.

C) Correct. Using electric razors for shaving can prevent cuts and reduce the risk of bleeding in clients with bleeding disorders.

D) Incorrect. Taking aspirin daily is not recommended for clients with bleeding disorders as it can increase the risk of bleeding due to its antiplatelet effects.

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A nurse is caring for a client who experienced a hemorrhage and received a blood transfusion. Which clinical manifestation should the nurse monitor to determine the effectiveness of the transfusion?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

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A nurse is caring for a client who experienced a hemorrhage and received a blood transfusion. Which clinical manifestation should the nurse monitor to determine the effectiveness of the transfusion?