A nurse is providing discharge education to a client who experienced hemorrhage and received a blood transfusion. What should the nurse include in the client's education?
"You can resume normal activities immediately."
"Monitor for signs of infection at the transfusion site."
"Avoid consuming citrus fruits and juices."
"Expect dark-colored stools after the transfusion."
The Correct Answer is B
A) Incorrect. While resuming normal activities is important, the client should also be cautious and monitor for any complications after a blood transfusion.
B) Correct. Monitoring for signs of infection at the transfusion site is crucial to identify any potential complications such as infection or infiltration.
C) Incorrect. Consuming citrus fruits and juices is not contraindicated after a blood transfusion and does not directly impact post-transfusion care.
D) Incorrect. Dark-colored stools are not an expected outcome after a blood transfusion. It is important for the client to be aware of any unusual changes in stool color or other potential side effects.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A) Incorrect. Hemoglobin levels may initially be normal or slightly decreased, but they would decrease later due to the body's compensatory response to dilute the remaining blood.
B) Incorrect. Platelet count may not be significantly affected in the early stages of hemorrhage. It is mainly responsible for clot formation, which becomes more relevant in the later stages.
C) Incorrect. In the early stages of hemorrhage, the white blood cell count is not significantly affected. It plays a role in fighting infection and inflammation.
D) Correct. Hematocrit levels represent the proportion of red blood cells in the blood. During early stages of hemorrhage, there is a loss of red blood cells, leading to decreased hematocrit levels.
Correct Answer is C
Explanation
A) Incorrect. While monitoring the client's pain level is important, it is not the priority when managing postpartum hemorrhage.
B) Incorrect. While breastfeeding can help stimulate uterine contractions, it is not the priority when actively managing postpartum hemorrhage.
C) Correct. Assessing the client's uterine contractions is the priority when managing postpartum hemorrhage. Weak or ineffective contractions can contribute to excessive bleeding after childbirth.
D) Incorrect. While educating the client about contraceptive methods is essential for family planning, it is not the immediate priority when managing postpartum hemorrhage.
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