MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A female patient has a hemoglobin of 6.4 g/dL and is preparing to have a blood transfusion. Why would it be important for the nurse to obtain information about the patient’s history of pregnancy prior to the transfusion?
A
A high number of pregnancies can increase the risk of reaction.
B
If the patient has never been pregnant, it increases the risk of reaction.
C
Obtaining information about gravidity and parity is routine information for all female patients
D
If the patient has been pregnant, she may have developed allergies.
Explanation: 

Detailed explanation-1: -A client who has a hemoglobin of 6 gm/dL (60 mmol/L) is refusing blood because of religious reasons. What is the most appropriate action by the nurse? Call the chaplain to convince the client to receive the blood transfusion.

Detailed explanation-2: -Some doctors believe that hospital patients who fall below 10 g/dL should get a blood transfusion. But recent research found that: Many patients with levels between 7 and 10 g/dL may not need a blood transfusion. One unit of blood is usually as good as two, and it may even be safer.

Detailed explanation-3: -Taking a prenatal vitamin that contains iron can help prevent and treat iron deficiency anemia during pregnancy. In some cases, your health care provider might recommend a separate iron supplement. During pregnancy, you need 27 milligrams of iron a day.

Detailed explanation-4: -Before a blood transfusion, the nurse should educate the patient on the risks and benefits of the procedure, tell patients what to expect, and describe the potential signs and symptoms of a reaction. If a reaction occurs, patients should be informed on how to call for help.

There is 1 question to complete.