During a natural disaster, a child diagnosed with hemophilia is injured and bleeding internally. Which blood product should the nurse plan to administer if the appropriate factor is not available?
1. Platelets
2. Whole blood
3. Packed cells
4. Fresh or fresh frozen plasma
4
Explanation:
1. The child has adequate platelets, and administration of platelets will not promote clotting.
2. Whole blood will increase the blood volume without promoting clotting.
3. A unit of packed cells will provide red blood cells (RBCs) but not the factor needed to clot.
4. Factors are located in the plasma. Fresh or fresh frozen plasma will provide the best source of factor available.
You might also like to view...
Which intervention would be a priority when providing care to a client recovering from thoracic injuries sustained from a motor vehicle crash?
A) Monitor urine output. B) Assess vital signs. C) Perform passive range of motion to all extremities. D) Assist to deep breath and cough every 2 hours.
A nurse plans the interventions to prepare a patient for a bone marrow aspiration. (Place the options in the correct sequence. Separate letters by a comma and space as follows: A, B, C, D.)
a. Assist the patient to lie on his or her abdomen and drape the hip and lower limbs. b. Confirm the presence of laboratory personnel to stain the specimen. c. Apply a pressure dressing and help the patient lie on his or her back. d. Ensure that a signed permission form is obtained. e. Explain that the procedure will take about 30 minutes.
A small house fire that burns only a sofa and results in no injuries and minimal smoke damage would be classified as which of the following types of disasters?
a. Level I b. Level II c. Level III d. Level IV
The mother of an African American newborn asks the nurse about the bluish-black areas she noticed around the infant's lower back and buttocks. What is the nurse's best response?
A) "These areas are normal and should disappear by early childhood." B) "It will be best if you have these areas treated with laser surgery." C) "These spots will normally fade in about 2 weeks." D) "This discoloration occurs in some infants and is usually permanent."