A client, receiving a transfusion of packed red blood cells, asks the nurse why it is needed since she knows the body makes new blood. Which of the following should the nurse respond to this client?
1. "It will take 30 days for you body to make the new blood cells."
2. "Your body will make the new blood cells in about 60 days."
3. "It takes at least 3 months for your body to make enough blood cells to replace what you have lost."
4. "Red blood cells last about 120 days. Your body needs to have a constant supply to replace them."
4
Red blood cells have a life span of about 120 days. Abnormal red blood cells have a shorter life span and are lysed and extracted from the circulation. The nurse should explain that since red blood cells live 120 days, the body needs a constant supply. The transfusion will provide the cells until the body makes new ones.
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The nurse is planning care for a client with acute myeloid leukemia (AML). Which diagnoses are priorities for this client to minimize the risk of complications associated with AML?
Select all that apply. A) Risk for Infection B) Ineffective Thermoregulation C) Imbalanced Nutrition D) Fluid Volume Excess E) Risk for Ineffective Protection (Bleeding)
While caring for a patient with an indwelling catheter, the nurse will include in the daily care the interventions of: (Select all that apply.)
a. observing tube placement and level of urine in collection bag. b. keeping the drainage bag below the level of the bed. c. avoiding patient ambulating with the ca-theter collection bag. d. cutting off the balloon arm when discon-tinuing the catheter. e. cleaning the meatus and catheter with soap and water.
In which position can the mediastinal crunch (Hamman sign) best be heard?
a. A supine position b. Lying on the left side c. Sitting completely upright d. With the head elevated 30 degrees
Which is an example of a closed wound?
A) Abrasion B) Ecchymosis C) Incision D) Puncture wound