Author Question: The nurse explains to a client receiving packed RBCs that the blood product is produced by ... (Read 319 times)

olgavictoria · **on:** Jul 16, 2018

The nurse explains to a client receiving packed RBCs that the blood product is produced by centrifuging (spinning) whole blood, which forces the RBCs to the bottom of the container.

For which of the following clients would packed RBCs be the best choice? A) A client who has anemia
B) A client who has massive acute hemorrhaging
C) A client with thrombocytopenia
D) A client with hypovolemic shock

Question 2

Which of the following clients would be most likely to have an order for a sitz bath?

A) A client who has had a hysterectomy
B) A client who has amenorrhea
C) A client with premenstrual syndrome
D) A woman who is experiencing menopause

pangili4 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

A
Feedback:
Packed cells are given to clients with anemia who do not need increased circulating blood volume. Whole blood is rarely used for transfusions today, except to treat massive acute hemorrhage. Platelet concentrates are used to prevent or to resolve bleeding caused by thrombocytopenia or for active bleeding disorders, such as disseminated intravascular coagulation (DIC). Serum albumin is used to treat hypovolemic shock (low blood volume) or to replace albumin lost because of burns or kidney damage.

Answer to Question 2

A
Feedback:
Sitz baths are frequently ordered for a female client following a vaginal hysterectomy or delivery. Amenorrhea is the absence of, or abnormal stoppage of, menses. Premenstrual syndrome (PMS), also called premenstrual tension, is associated with cyclic affective (emotional) and physical symptoms that are common in a high percentage of menstruating women. Menopause (climacteric), the cessation of menstruation, usually occurs between the ages of 45 and 50 . These conditions are not treated with sitz baths.