Practice Quiz

NCLEX-RN

Category - Reduction of Risk

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A nurse is administering packed red blood cells to a client who has a hemoglobin level of eight g/dL. The client was diagnosed with iron deficiency anemia. She asks how many bags of blood are needed to normalize the hemoglobin level. An appropriate response is:
  1. “We expect your blood to normalize after transfusing one bag of blood.”
  2. “After one bag of blood, you need to eat iron rich foods to normalize your blood level.”
  3. “You need to receive at least two bags of blood to normalize your blood level.
  4. “Blood tests will be done to determine your current hemoglobin level.”
Explanation
Answer: D - The goal of blood transfusion is to increase the client’s hemoglobin level to at least 11 or 12 gm/dL Blood tests will be done first before additional bags of blood are transfused. Ideally, one unit of packed RBC can increase the client’s hemoglobin level by one gm/dL In severe cases of low hemoglobin level, an iron-rich diet is ineffective in normalizing RBC and hemoglobin levels.
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