A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take?

Administer the transfusion through a 25-gauge saline lock.

Administer the plasma immediately after thawing.

Transfuse the plasma over 4 hr.

Hold the transfusion if the client is actively bleeding.

Answer and Explanation

The Correct Answer is B

A)   Administering the transfusion through a 25-gauge saline lock might not be appropriate as it may cause hemolysis or obstruct the flow of plasma.
B)   Administering the plasma immediately after thawing is crucial to ensure the effectiveness of the transfusion and to prevent degradation of the plasma components.
C)   Transfusing the plasma over 4 hours is a standard practice, but the priority is administering it promptly after thawing.
D)   Holding the transfusion if the client is actively bleeding is inappropriate since the client is losing blood which needs to be replaced. Furthermore, fresh frozen plasma contains clotting factors which are beneficial for a client whose cause of bleeding is clotting factor deficiencies.

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Correct Answer is C

Explanation

A. Syphilis is a bacterial infection, so antiviral medication is not appropriate.

Treatment typically involves antibiotics, such as penicillin.

B. Cryotherapy is not a standard treatment for primary syphilis. Antibiotics are the primary treatment.

C. This is in line with the treatment guidelines for syphilis, which involve antibiotic therapy and follow-up testing to ensure the infection is fully resolved. The tests are done at 3, 6, and 12 months after completion of treatment.
D. Monitoring after medication doses may be necessary for certain medications but is not specifically indicated for primary syphilis.

A. Increase the client's ventilator flow rate. B. Empty water from the client's ventilator tubing. C. Evaluate the client for a cuff leak. D. Suction the client's airway.

Correct Answer is C

Explanation

A) Increasing the ventilator flow rate may not address the cause of the low-pressure alarm and could potentially worsen the situation.
B) Emptying water from the ventilator tubing is not typically necessary when the low-pressure alarm sounds.
C) Evaluating the client for a cuff leak is essential because a leak in the endotracheal tube cuff can cause the low-pressure alarm to sound.
D) Suctioning the client's airway is not indicated unless there are signs of airway obstruction or secretions.

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A nurse is preparing to administer fresh frozen plasma to a client. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

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