The nurse is caring for a client who is to have an autologous transfusion of packed red blood cells. The nurse recognizes the client requires additional teaching when they state:
“I probably will not have any transfusion reactions from my own blood."
“This is the blood I've been giving for the past 6 weeks for myself.
"I understand there is still a risk I can get hepatitis from this blood."
"Since I have O negative blood, it's a good thing I'm getting my own blood."
The Correct Answer is C
A. “I probably will not have any transfusion reactions from my own blood.” - Autologous transfusions
generally have a lower risk of transfusion reactions because they involve the client’s own blood.
B. “This is the blood I’ve been giving for the past 6 weeks for myself.” - This is a correct understanding of the process of autologous blood donation, where the client donates blood for their own use.
C. An autologous blood transfusion involves the collection and storage of a patient's own blood for later transfusion. This significantly reduces the risk of bloodborne infections, such as hepatitis, HIV, and other blood-borne diseases, as the blood is coming from the patient themselves.
D. “Since I have O negative blood, it’s a good thing I’m getting my own blood.” - The client may not need additional teaching here because O negative blood is universally compatible, but the reason they are getting their own blood is due to the autologous donation process, not because of blood type.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Cryoprecipitate is indicated for low fibrinogen or clotting factor issues, but the client’s primary issue
here is anemia and thrombocytopenia.
B. FFP is used to replace clotting factors. While it could be considered in certain situations, in this case, the primary concern is the severe anemia and thrombocytopenia.
C. This is the most appropriate choice, as the patient has low hemoglobin (anemia) and a very low platelet count, both of which require packed red blood cells and platelets.
D. This combination is typically used for clotting factor issues, not anemia and thrombocytopenia.
Correct Answer is {"dropdown-group-1":"C","dropdown-group-2":"D","dropdown-group-3":"D"}
Explanation
Atrial fibrillation: This is a common arrhythmia where the atria quiver instead of contracting normally, leading to irregular heart rhythms.
Amiodarone- an antiarrhythmic medication may be used to control the heart rate or rhythm in atrial fibrillation.
Heparin-an anticoagulant prevent thromboembolic events, such as stroke, anticoagulants like heparin, enoxaparin, or newer agents like rivaroxaban are used.
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