Author Question: A client with a gastrointestinal bleed secondary to alcohol abuse and a hemoglobin level of 5.8 g/dL ... (Read 99 times)

B

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A client with a gastrointestinal bleed secondary to alcohol abuse and a hemoglobin level of 5.8 g/dL has been ordered a transfusion of packed red blood cells.
 
  The client possesses type B antibodies but lacks type D antigens on his red cells. Transfusion of which of the following blood types would be least likely to produce a transfusion reaction?
  A)
  B-
  B)
  B+
  C)
  A+
  D)
  A-

Question 2

The blood work of a 44-year-old male patient with a diagnosis of liver disease secondary to alcohol abuse indicates low levels of albumin. Which of the following phenomena would a clinician be most justified in anticipating?
 
  A)
  Impaired immune function
  B)
  Acid-base imbalances
  C)
  Impaired thermoregulation
  D)
  Fluid imbalances



smrerig

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Answer to Question 1

Ans:
D

Feedback:

The client's blood type is A- and would necessitate A- or O- donor blood. Other types would induce a transfusion reaction.

Answer to Question 2

Ans:
D

Feedback:

Albumin plays a central role in the maintenance of osmotic pressure and fluid balance. Immune function, acid-base balance, and thermoregulation are not functions of albumin.



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