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    Ati rn 402 med surg proctored exam

    A nurse is caring for a client who is experiencing hypovolemic shock. Which of the following blood products should the nurse anticipate administering to this client?

    Explanation & Rationale

    A. Cryoprecipitates: Cryoprecipitate is rich in clotting factors like factor VIII and fibrinogen. It is used primarily for bleeding disorders such as hemophilia or disseminated intravascular coagulation (DIC), not for volume resuscitation in hypovolemic shock. B. Packed RBCs (red blood cells): Packed RBCs are used to restore oxygen-carrying capacity and increase hematocrit and hemoglobin levels in cases of acute blood loss, making them appropriate for treating hypovolemic shock caused by hemorrhage. C. Albumin: Albumin is a plasma volume expander and can help in increasing oncotic pressure, but it is not the first-line blood product for hemorrhagic hypovolemic shock because it does not replace red blood cells or oxygen-carrying capacity. D. Platelets: Platelets are administered in cases of thrombocytopenia or active bleeding due to low platelet count. They are not used to treat hypovolemia unless there is associated platelet deficiency.

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