A nurse is preparing to transfuse a unit of packed red blood cells for a client with severe anemia. The nurse should identify that which of the following interventions will help prevent an acute hemolytic reaction?

Ensuring the blood is compatible with the client's blood type

Administering the transfusion rapidly

Using a blood warmer to warm the blood prior to transfusion

Administering prophylactic antihistamines before the transfusion

Answer and Explanation

The Correct Answer is A

A. Ensuring the blood is compatible with the client's blood type is critical in preventing an acute hemolytic reaction, as incompatible blood transfusions can cause serious, potentially life-threatening reactions.

B. Administering the transfusion rapidly can increase the risk of complications and does not prevent hemolytic reactions; transfusions should be given at a safe rate based on the client's condition.

C. Using a blood warmer is not a standard intervention to prevent hemolytic reactions; it's typically used in specific cases such as massive transfusions or hypothermia, but it does not address compatibility.

D. Administering prophylactic antihistamines is not a recommended practice to prevent hemolytic reactions; it is more relevant for preventing allergic reactions associated with transfusions.

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Correct Answer is ["B","E","F"]

Explanation

A. Bananas are not a significant source of vitamin B12.

B. Eggs are a good source of vitamin B12 and should be included in the diet of someone with a deficiency.

C. Spinach contains folate but is not a reliable source of vitamin B12.

D. Carrots are not a source of vitamin B12.

E. Beef is an excellent source of vitamin B12 and should be consumed to help correct the deficiency.

F. Milk is a good source of vitamin B12 and can help increase intake for clients with a deficiency.

G. Quinoa does not contain vitamin B12 and should not be relied upon for addressing this deficiency.

A. Over-hydration B. Dehydration C. Non-steroidal anti-inflammatory drugs (NSAIDs) D. Vaccinations

Correct Answer is B

Explanation

A. Over-hydration is not a trigger for a sickle cell crisis; in fact, adequate hydration helps prevent sickling of the cells.

B. Dehydration is a significant trigger for sickle cell crises, as it can lead to increased blood viscosity and sickling of red blood cells.

C. Non-steroidal anti-inflammatory drugs (NSAIDs) are often used to manage pain associated with sickle cell crises, but they do not trigger a crisis.

D. Vaccinations are important for preventing infections in individuals with sickle cell anemia but are not associated with triggering a sickle cell crisis.

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A nurse is preparing to transfuse a unit of packed red blood cells for a client with severe anemia. The nurse should identify that which of the following interventions will help prevent an acute hemolytic reaction?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching to a client who has vitamin B12 deficiency. Which of the following foods should the nurse instruct the client to consume? Select all that apply.

Correct Answer is ["B","E","F"]

Explanation

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Correct Answer is B

Explanation

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