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

Answer and Explanation

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.

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Correct Answer is A

Explanation

A. Urine specific gravity 1.034: High urine specific gravity (greater than 1.030) indicates concentrated urine, which is a sign of dehydration. This suggests the kidneys are conserving water due to a lack of fluid.

B. Distended neck veins: Distended neck veins usually indicate fluid overload or hypervolemia, not dehydration.

C. BP 146/94 mm Hg: While elevated blood pressure could be a sign of various conditions, it is not a typical indicator of dehydration. Dehydration often leads to low blood pressure.

D. Bounding pulse: A bounding pulse is often associated with fluid overload or fever and does not indicate dehydration. In dehydration, the pulse may be weak or thready.

A. Provide oxygen at 2 L per nasal cannula. B. Provide a urinal and encourage the patient to void. C. Place the patient in a high Fowler position. D. Lay the patient flat in bed to listen to bowel sounds.

Correct Answer is C

Explanation

A. Provide oxygen at 2 L per nasal cannula: Although oxygen might be helpful later, the patient currently has a good oxygen saturation (95%). The priority is to ease breathing and reduce fluid accumulation in the lungs.

B. Provide a urinal and encourage the patient to void: While voiding might help reduce fluid volume, repositioning the patient to improve breathing is more urgent.

C. Place the patient in a high Fowler position: This position maximizes lung expansion, improves oxygenation, and helps alleviate dyspnea caused by fluid overload.

D. Lay the patient flat in bed to listen to bowel sounds: Placing the patient flat can worsen pulmonary symptoms by allowing fluid to shift toward the lungs.

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Which of the following solutions can be administered with a blood component?

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Naxlex Comprehensive Predictor Exams

A nurse is planning to monitor a client for dehydration following several episodes of vomiting and an increase in the client's temperature. Which of the following findings should the nurse identify as an indication that the client is dehydrated?

Correct Answer is A

Explanation

While assessing an older adult patient with fluid excess, the nurse notes the following: T = 98.6°F, P = 92, R = 18, BP = 166/88 mm Hg, bilateral crackles, oxygen saturation = 95%. Which action should the nurse take first?

Correct Answer is C

Explanation

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