A nurse is caring for a patient who reports an increase in bruising. The nurse should expect which of the following laboratory values?

Platelets 110,000 mm3

WBC 8,000 mm3

Hemoglobin 13.0 g/dL

RBC 4.6 million/mm3

Answer and Explanation

The Correct Answer is A

A. Platelets 110,000 mm³ – Correct Answer. A low platelet count (thrombocytopenia) increases the risk of bruising and bleeding. Normal platelet range is 150,000–400,000 mm³.

B. WBC 8,000 mm³ – Normal white blood cell count; does not explain increased bruising.

C. Hemoglobin 13.0 g/dL – Normal hemoglobin level; not related to bruising.

D. RBC 4.6 million/mm³ – Normal RBC count; does not indicate a bleeding risk.

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Correct Answer is C

Explanation

A. 8 hr – Incorrect. RBC transfusions must not exceed 4 hours due to the risk of bacterial growth and hemolysis.

B. 6 hr – Incorrect. Blood products should be infused within a maximum of 4 hours to prevent complications.

C. 4 hr – Correct Answer. The maximum infusion time for packed RBCs is 4 hours to reduce the risk of bacterial contamination and infection.

D. 2 hr – Incorrect. While blood is often infused within 2 hours, the maximum safe limit is 4 hours.

A. Double-check the product numbers on the PRBCS with the patient ID band. B. Monitor the patient for shortness of breath or chest pain during the transfusion. C. Obtain the temperature, blood pressure, and pulse before the transfusion. D. Verify the patient identification (ID) according to hospital policy.

Correct Answer is C

Explanation

A. Incorrect. Blood verification must be done by two licensed nurses.

B. Incorrect. Monitoring for transfusion reactions is the nurse's responsibility.

C. Correct. UAPs can obtain baseline vital signs before the transfusion, as long as the nurse interprets them.

D. Incorrect. Verifying patient ID for blood transfusions is a nursing responsibility per hospital protocol.

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A nurse is caring for a patient who reports an increase in bruising. The nurse should expect which of the following laboratory values?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a patient who is to receive packed RBCs. The nurse should plan for the total infusion time to not exceed which of the following?

Correct Answer is C

Explanation

The nurse is planning to administer a transfusion of packed red blood cells (PRBCs) to a patient with blood loss from gastrointestinal hemorrhage. Which action can the nurse delegate to unlicensed assistive personnel (UAP)?

Correct Answer is C

Explanation

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