Katie, a 45-year-old patient with breast cancer, is currently undergoing chemotherapy. She is started on epoetin alfa secondary to decreased hemoglobin and hematocrit levels. What rule is important when administering epoetin alfa, after reconstituting it?

Do not shake the drug vigorously. pg. 152 More test answers on https://studyhippo.com/prep-u-for-abramss-clinical-drug-therapy-10th-edition-chapter-9-drug-therapy-for-hematopoietic-disorders-and-to-enhance-immunity/

Packed red blood cells have been prescribed for a client with low hemoglobin and hematocrit levels. The nurse takes the client’s temperature before hanging the blood transfusion and records 100.6F orally. Which of the following is the appropriate nursing action? a. Begin the transfusion as prescribed b. Delay hanging the blood and notify the physician c. Administer an antihistamine and begin the transfusion d. Administer two tablets of acetaminophen (Tylenol) and begin the transfusion

b. Delay hanging the blood and notify the physician If the client’s temperature is higher than 100F the unit of blood should not be hung until the physician is notified and has the opportunity to give further prescriptions. The physician will likely prescribe that the blood be administered regardless of the temperature, but the decision is not within the nurse’s scope of practice to make. More test answers on https://studyhippo.com/nur-211-blood-transfusion-nclex-questions/

A client is brought to the emergency department having experienced blood loss related to an arterial laceration. Fresh-frozen plasma is prescribed and transfused to replace fluid and blood loss. The nurse understands that the rationale for transfusing fresh-frozen plasma in this client is: A. to treat the loss of platelets B. to promote rapid volume expansion C. That the transfusion must be done slowly D. That it will increase the hemoglobin and hematocrit levels.

B. to promote rapid volume expansion Fresh-frozen plasma is often used for volume expansion as a result of fluid and blood loss. It does not contain platelets, so it is not used to treat any type of low platelet count disorder. It is rich in clotting factors and can be thawed quickly and transfused quickly. It will not specifically increase the hemoglobin and hematocrit level. More test answers on https://studyhippo.com/nur-211-blood-transfusion-nclex-questions/

“. A unit of packed red blood cells has been prescribed for a client with low hemoglobin and hematocrit levels. The nurse notifies the blood bank of the order, and a blood specimen is drawn from the client for typing and cross-matching. The nurse receives a telephone call from the blood bank and is informed that he unit of blood is ready for administration. Arrange the actions in order of priority that the nurse should take to administer the blood. (Letter A is the first and letter F is the last action.) a) hang the bag of blood b) obtain the unit of blood from the bank c) ensure that an informed consent has been signed d) verify the physician’s order for the blood transfusion e) insert an 18 or 19-gauge IV catheter into the client f) ask a licensed nurse to assist in confirming blood compatibility and verifying client identity.”

“F, D, B, A, C, E – The nurse would first verify the physician’s order for the blood transfusion and ensure that the client has been informed about the procedure and has signed an informed consent. Once this has been done, the nurse would ensure that at least an 18- or 19-gauge intravenous needle is inserted into the client. Blood has a thicker and stickier consistency than intravenous solutions and using an 18- or 19-gauge catheter ensures that the bore of the catheter is large enough to prevent damage to the blood cells. Next, the blood is obtained from the blood bank, once the nurse is sure that the client has been informed and has an adequate access for administering the blood. Once the blood has been obtained, two registered nurses, or one registered and a licensed practical nurse (depending on agency policy), must together check the label on the blood product against the client’s identification number, blood group, and complete name. This minimizes the risk of error in checking information on the blood bag and thereby minimizes the risk of harm or injury to the client. The nurse should measure vital signs and assess lung sounds and then hang the transfusion.”` More test answers on https://studyhippo.com/blood-transfusion-nclex/

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Hemoglobin And Hematocrit Levels Flashcards, test questions and answers

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What is Hemoglobin And Hematocrit Levels?

Hemoglobin and hematocrit levels are important measurements used to evaluate a person’s health. Hemoglobin is an iron-containing protein found in red blood cells that carries oxygen throughout the body. Hematocrit is the volume percentage of red blood cells compared to other components of whole blood. Both hemoglobin and hematocrit levels can provide valuable information about a person’s overall health, including their risk for developing certain diseases and disorders.Normal hemoglobin levels range between 12-18 g/dL for adult males and 11-15 g/dL for adult females. A low hemoglobin level can indicate anemia, bleeding, or malnutrition, while high levels may be indicative of chronic diseases such as kidney failure or heart disease. Abnormal hemoglobin concentrations may also be caused by drugs or radiation exposure. Normal hematocrit levels range between 38% to 54% for adult males and 35% to 47% for adult females. Low hematocrit values are indicative of anemia due to vitamin deficiency, chronic bleeding, or chemotherapy treatment; whereas high values can be seen with dehydration or smoking cigarettes among other causes. Abnormal increases in both hemoglobin and hematocrit levels can also occur with certain conditions such as polycythemia vera (a rare disorder where there is an overproduction of red blood cells). Therefore it is important to monitor your hemoglobin and hematocrit levels regularly as they are vital indicators of overall health status which helps identify any potential concerns before they become serious issues. If you experience any concerning symptoms it is best to consult with your doctor immediately so they can determine the root cause and provide appropriate treatments if necessary.

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