PNR 408 - TEST #1 EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS GRADED A++
A client is admitted to the intensive care unit with thrombocytopenia. The client's
platelet count is 120,000 μl. The health care provider ordered 5 bags of platelets
to be infused on this client. How long should the nurse infuse each bag of
platelets?
a. 5 - 10 minutes
b. 10 - 20 minutes
c. 20 - 30 minutes
d. 30 - 60 minutes
d. 30 - 60 minutes
Rationale:
Thrombocytopenia means that a client's platelet count is less than 150,000 platelets per
microliter. A normal client's platelet count varies from 150,000 to 450,000 per microliter.
Platelets are responsible to stop bleeding by forming clumps or plugs during blood
vessel insults. Platelets are usually infused between 30 to 60 minutes. With each unit of
platelets, the client's platelet count may be increased about 6000 μl.
A client arrives at the emergency department with a hemoglobin of 6. The health
care provider orders 2 units of packed red blood cells (PRBCs) to be infused each
over 4 hours. The nurse starts the first unit of PRBCs and within the first 15
, minutes, the client begins to flush, redness to the face, and begins itching. Which
type of infusion reaction is the client exhibiting?
a. Febrile reaction.
b. Anaphylactic reaction.
c. Circulatory overload.
d. Hemolytic reaction.
a. Febrile reaction.
Rationale:
When a client has a febrile reaction, the client has flushing, redness, and itchy skin.
Usually, the health care provider will order tylenol and benadryl for the client and
continue the transfusion. When a client has a hemoglobin of less than 7, the client is
very sick and could go to heaven without an intervention. One unit of PRBCs will
increase the hemoglobin 1 point after transfusion.
The nurse is starting a client's 3rd unit of PRBCs. The client begins complaining
of severe back pain, becomes apprehensive, and VS: T 100.9F, P 126, RR 28, BP
80/54. Which intervention should the nurse perform as priority?
a. Administer tylenol and benadryl and continue the infusion.
b. Slow the infusion because the client is in circulatory overload.
c. Stop the infusion because the client is having a hemolytic reaction.
d. Stop the infusion because the client is having an anaphylactic reaction.
COMPLETE SOLUTIONS GRADED A++
A client is admitted to the intensive care unit with thrombocytopenia. The client's
platelet count is 120,000 μl. The health care provider ordered 5 bags of platelets
to be infused on this client. How long should the nurse infuse each bag of
platelets?
a. 5 - 10 minutes
b. 10 - 20 minutes
c. 20 - 30 minutes
d. 30 - 60 minutes
d. 30 - 60 minutes
Rationale:
Thrombocytopenia means that a client's platelet count is less than 150,000 platelets per
microliter. A normal client's platelet count varies from 150,000 to 450,000 per microliter.
Platelets are responsible to stop bleeding by forming clumps or plugs during blood
vessel insults. Platelets are usually infused between 30 to 60 minutes. With each unit of
platelets, the client's platelet count may be increased about 6000 μl.
A client arrives at the emergency department with a hemoglobin of 6. The health
care provider orders 2 units of packed red blood cells (PRBCs) to be infused each
over 4 hours. The nurse starts the first unit of PRBCs and within the first 15
, minutes, the client begins to flush, redness to the face, and begins itching. Which
type of infusion reaction is the client exhibiting?
a. Febrile reaction.
b. Anaphylactic reaction.
c. Circulatory overload.
d. Hemolytic reaction.
a. Febrile reaction.
Rationale:
When a client has a febrile reaction, the client has flushing, redness, and itchy skin.
Usually, the health care provider will order tylenol and benadryl for the client and
continue the transfusion. When a client has a hemoglobin of less than 7, the client is
very sick and could go to heaven without an intervention. One unit of PRBCs will
increase the hemoglobin 1 point after transfusion.
The nurse is starting a client's 3rd unit of PRBCs. The client begins complaining
of severe back pain, becomes apprehensive, and VS: T 100.9F, P 126, RR 28, BP
80/54. Which intervention should the nurse perform as priority?
a. Administer tylenol and benadryl and continue the infusion.
b. Slow the infusion because the client is in circulatory overload.
c. Stop the infusion because the client is having a hemolytic reaction.
d. Stop the infusion because the client is having an anaphylactic reaction.
