A nurse is preparing to administer a platelet transfusion to a client with severe thrombocytopenia. The nurse should:

Infuse the platelets slowly over 4 hours.

Use a standard IV infusion set for administration.

Verify compatibility with the client's blood type.

Warm the platelets to room temperature before infusion.

Answer and Explanation

The Correct Answer is C

A. Platelets should be infused rapidly, typically over 30 to 60 minutes, to prevent clotting and ensure effectiveness.
B. A specialized platelet administration set with a filter should be used, not a standard IV infusion set.
C. Although ABO compatibility is less critical for platelets than for red blood cell transfusions, compatibility should still be verified to reduce the risk of reactions.
D. Platelets should not be warmed; they should be stored at room temperature and gently agitated to prevent clumping.

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Correct Answer is B

Explanation

A) Incorrect: Administering the blood transfusion when agglutination and incompatibility are detected is unsafe and may lead to severe transfusion reactions. The nurse should not proceed with the transfusion.

B) Correct: In the presence of agglutination and incompatibility between the donor's red blood cells and the client's plasma, the nurse must discontinue the blood transfusion immediately and return the blood to the blood bank. This ensures the client's safety and prevents further adverse reactions.

C) Incorrect: Increasing the infusion rate will not resolve the incompatibility issue and may worsen the client's condition. The nurse should stop the transfusion promptly.

D) Incorrect: Mixing the incompatible blood with normal saline will not resolve the incompatibility issue and is not a safe practice. The nurse should not proceed with the transfusion and should return the blood to the blood bank.

A. Fresh Frozen Plasma (FFP) B. Platelets C. Packed Red Blood Cells (PRBCs) D. Albumin

Correct Answer is D

Explanation

A) Incorrect: Fresh Frozen Plasma (FFP) contains clotting factors and is not the primary treatment for hypoalbuminemia.

B) Incorrect: Platelets are used to treat thrombocytopenia and platelet dysfunction, not hypoalbuminemia.

C) Incorrect: Packed Red Blood Cells (PRBCs) are primarily used to improve oxygenation in anemic clients and do not address hypoalbuminemia.

D) Correct: Albumin is the blood product of choice for addressing severe hypoalbuminemia. It is a protein that helps maintain oncotic pressure and regulates fluid balance within the blood vessels.

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A nurse is preparing to administer a platelet transfusion to a client with severe thrombocytopenia. The nurse should:

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing a client's blood compatibility results before a blood transfusion. The crossmatch shows agglutination and incompatibility between the donor's red blood cells and the client's plasma. What action should the nurse take?

Correct Answer is B

Explanation

A nurse is caring for a client with severe hypoalbuminemia. Which blood product should the nurse anticipate being prescribed to address the client's condition?

Correct Answer is D

Explanation

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A nurse is preparing to crossmatch blood for a client with blood type O-positive(O+). Which blood type can safely receive blood from this client?

A client has a history of severe allergic reactions and is scheduled to receive a blood transfusion. What intervention should the nurse implement to prevent an allergic transfusion reaction in this client?