Saunders Comprehensive Review for the NCLEX-RN Examination Silvestri 5th Edition Test Bank 9


Test-Taking Strategy: Read each option carefully, and visualize the process of blood administration. Remember that an in-line filter is used to administer blood to trap particles. Review for the procedures related to blood administration if you had difficulty with this question.


PTS: 1 DIF: Level of Cognitive Ability: Applying REF: Ignatavicius, D., & Workman, M. (2010). Medical-surgical nursing: patient- centered collaborative care (6th ed.). St. Louis: Saunders. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Nursing Sciences MSC: Integrated Process: Nursing Process—Implementation


12. The nurse overhears the physician stating that the client who is in hypovolemic shock requires plasma expansion. The nurse anticipates that the physician will write a prescription to transfuse which of the following blood products to this client? 1. Albumin 2. Platelets 3. Cryoprecipitate 4. Packed red blood cells


ANS: 1


Rationale: Albumin may be used as a plasma expander in hypovolemia with or without shock. Cryoprecipitate is useful in treating bleeding from hemophilia or disseminated intravascular coagulopathy because it is rich in clotting factors. Packed red blood cells replace erythrocytes and are not a plasma expander. Platelets are used when the client’s platelet count is low, typically below 20,000/mm3.


Test-Taking Strategy: Specific knowledge of the benefits and uses of various blood products is needed to answer this question. The strategic words are “requires plasma expansion.” These words will assist in directing you to “albumin.” Review the various blood component therapies if you had difficulty with this question.


PTS: 1 DIF: Level of Cognitive Ability: Analyzing REF: Gahart, B., & Nazareno, A. (2010). 2010 Intravenous medications: a handbook for nurses and health professionals (26th ed.). St. Louis: Mosby. OBJ: Client Needs: Physiological Integrity TOP: Content Area: Nursing Sciences MSC: Integrated Process: Nursing Process—Planning


13. The nurse is assisting in the care of a group of clients on the nursing unit. When considering effects of each medical diagnosis, the nurse determines that which of the following clients has the least risk for developing third-spacing of fluid? 1. Client with a major burn 2. Client with an ischemic stroke 3. Client with Laënnec’s cirrhosis


Saunders Comprehensive Review for the NCLEX-RN Examination Silvestri 5th Edition Test Bank


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