A client with chronic anemia due to kidney disease is reluctant to receive a blood transfusion.
What alternative treatment option can the nurse discuss with the client to increase hemoglobin levels and reduce the need for transfusion?
"Consider oxygen therapy, which can improve your oxygen-carrying capacity and reduce the need for transfusion.”
"Erythropoietin injections stimulate red blood cell production and may be a suitable alternative for you.”
"Volume expanders like lactated Ringer's can increase your blood volume and circulation without adding blood cells.”
"I recommend iron therapy, either orally or intravenously, to address your iron deficiency anemia.”
The Correct Answer is B
Choice A rationale:
Oxygen therapy can improve oxygen-carrying capacity but does not directly address chronic anemia due to kidney disease.
Erythropoietin therapy is a more targeted option.
Choice B rationale:
Erythropoietin injections stimulate red blood cell production and can be effective in treating anemia associated with chronic kidney disease.
It is a suitable alternative to blood transfusion in this context.
Choice C rationale:
Volume expanders like lactated Ringer's primarily increase blood volume and circulation but do not address anemia or increase hemoglobin levels.
This option may not be the most appropriate for the client's condition.
Choice D rationale:
Iron therapy is generally used to treat iron deficiency anemia, but it may not be the most effective option for anemia related to chronic kidney disease, as it does not address the underlying cause.
Erythropoietin therapy is a more targeted approach.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Transfusion-related acute lung injury (TRALI) is characterized by acute respiratory distress and is usually not associated with abdominal symptoms.
TRALI is more common in patients receiving plasma-containing blood products.
Choice B rationale:
Transfusion-associated circulatory overload (TACO) occurs when a patient receives a volume of blood or blood products that exceeds their circulatory system's capacity.
Symptoms include dyspnea, orthopnea, tachypnea, and crackles on lung auscultation, which match the symptoms described in the question.
This condition is more likely when blood products are transfused too rapidly or in excessive volume.
Choice C rationale:
Allergic reactions to blood transfusions typically present with symptoms like itching, hives, and flushing, rather than the respiratory symptoms and crackles on lung auscultation described in the question.
Choice D rationale:
Febrile nonhemolytic reactions are characterized by fever and chills and do not typically manifest as dyspnea, orthopnea, tachypnea, or crackles on lung auscultation.
Correct Answer is C
Explanation
Choice A rationale:
B- blood can be safely transfused to a client with blood type B+ since B+ individuals do not have anti-B antibodies.
However, the reverse is not true.
A client with blood type B+ should not receive B- blood because B- blood has anti-A antibodies that can react with the A antigen present on the recipient's red blood cells.
Choice B rationale:
A- blood can be safely transfused to a client with blood type B+ since B+ individuals do not have anti-A antibodies.
However, the reverse is not true.
A client with blood type B+ should not receive A- blood because A- blood has anti-B antibodies that can react with the B antigen present on the recipient's red blood cells.
Choice C rationale:
O- blood can be safely transfused to a client with blood type B+ because O- blood is universally compatible with all blood types.
O- blood does not contain A, B, or RhD antigens, making it safe for transfusion to recipients with any blood type.
Choice D rationale:
AB- blood can be safely transfused to a client with blood type B+ since B+ individuals do not have anti-A or anti-B antibodies.
However, the reverse is not true.
A client with blood type B+ should not receive AB- blood because AB- blood contains both A and B antigens, which can react with the antibodies present in the recipient's plasma.
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