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NCLEX-RN Exam Practice

Category - Shock

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You are caring for a patient with a gunshot wound. As a result of the patient’s Coumadin therapy, the prothrombin time is twice the normal amount. Which blood product do you expect the physician to order?

Fresh frozen plasma
Random donor platelets
Red blood cells
Crystalloids

Explanation

Answer: A - The patient with a prothrombin time greater than 1.5 times normal who is bleeding should receive fresh frozen plasma. A patient with thrombocytopenia would receive platelets. Anemic patients receive red blood cells, and crystalloids help establish and maintain fluid and electrolyte balance.

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