Practice Question
The client has an IV of dextrose 5% in 0.45% normal saline. The physician has ordered a transfusion of one unit of packed red blood cell (PRBCs). Before hanging the blood, the nurse will prime the blood tubing with which of the following solutions?
Answer Choices:
Correct Answer:
0.9% sodium chloride.
Rationale:
♦ Only normal saline is compatible with blood products to prevent hemolysis.
♦ Dextrose solutions can cause clumping of RBCs by promoting aggregation.
♦ Using the wrong fluid increases the risk of transfusion reactions.
♦ Priming with NS ensures patency of the line before and during transfusion.
♦ NS maintains isotonic balance, preventing osmotic shifts during infusion.
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This question is from Med Surg Urinary, Fluid and electrolytes which contains 40 questions.
More Questions from This Exam
The nurse caring for a client reviews the medical record and determines the client is at risk for developing a potassium deficit because of which situation?
Answer Choices:
A. History of Addison's disease.
B. Has sustained tissue damage.
C. Uric acid level of 9.4 mg/dL.
D. Requires nasogastric suction.
The nurse is assessing a client with hypocalcemia. What clinical manifestation would the nurse expect to note in this client?
Answer Choices:
A. Positive Trousseau's sign.
B. Hyperactive deep tendon reflexes.
C. Hyperactive bowel sounds.
D. Muscle twitching.
The nurse on a urology unit is caring for a client diagnosed with calcium oxalate renal calculi. When planning this client's health education, what nutritional guidelines should the nurse provide?
Answer Choices:
A. Increase purine-rich food intake.
B. Follow a low-calcium diet.
C. Increase intake of potassium-rich foods.
D. Restrict foods with protein.
A client who is NPO has an order for 1000 mL of D5W 0.45% NS with 40 mEq of potassium over 24 hours. How many mL/h should the IV pump be programmed for? Math instructions: IV calculations: (rate-mL/hr). Although some IV pumps do allow calibration to the tenth or hundredth, for the purpose of exams, IV rate calculations will be rounded to the nearest whole number.
Answer Choices:
A. 42 mL/h.
B. 44 mL/h.
C. 46 mL/h.
D. 48 mL/h.
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: General Exams
- Domain: Medical-surgical📚
- Answer Choices: 4