Which of the following solutions can be administered with a blood component?
0.9% sodium chloride
Lactated Ringers solution
5% dextrose/0.2% sodium chloride
5% dextrose/0.45% sodium chloride
The Correct Answer is A
A. 0.9% sodium chloride: Normal saline (0.9% sodium chloride) is the standard solution that can be administered with blood products. It is isotonic and does not cause hemolysis or alter the structure of red blood cells.
B. Lactated Ringers solution: Lactated Ringers solution is not used with blood products due to the potential for hemolysis when calcium is present, which can interfere with the clotting cascade and affect blood cell integrity.
C. 5% dextrose/0.2% sodium chloride: Dextrose solutions should not be used with blood components, as they can cause red blood cells to hemolyze, leading to hemolysis and complications in transfusion.
D. 5% dextrose/0.45% sodium chloride: This solution contains dextrose, which can cause red blood cell hemolysis and should not be used with blood products.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Upright: Sitting upright promotes optimal lung expansion by reducing pressure on the diaphragm and improving ventilation.
B. Side-lying: This may be used for comfort but does not maximize lung expansion.
C. Supine: Lying flat can compromise lung expansion, particularly in respiratory distress.
D. Prone: While prone positioning is used in specific cases of severe respiratory failure (e.g., ARDS), it is not standard for general pneumonia in children.
Correct Answer is B
Explanation
A. Hypotension: Hypercalcemia (high calcium levels) typically causes increased blood pressure, not hypotension.
B. Decreased deep tendon reflexes: High calcium levels can depress neuromuscular function, leading to diminished or absent deep tendon reflexes. This is a common finding in hypercalcemia.
C. Diarrhea: Hypercalcemia is more commonly associated with constipation, not diarrhea.
D. Increased appetite: Hypercalcemia does not cause increased appetite. It often leads to symptoms such as nausea, vomiting, or a reduced appetite.
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