A patient with hemophilia is admitted with acute bleeding. Until the cause of the bleeding is determined, the nurse should be prepared to perform which intervention?
1. infusing packed red blood cells
2. infusing normal saline
3. infusing heparin
4. infusing fresh-frozen plasma
Correct Answer: 4
Fresh-frozen plasma replaces all clotting factors except platelets. When the cause of bleeding is not yet determined, fresh-frozen plasma may be administered intravenously until a definitive diagnosis is made. Red packed cells and normal saline would increase volume but would not replace the clotting factors. Heparin would be contraindicated as it would promote further bleeding.
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