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:
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.
Correct Answer is ["A","B","C","E"]
Explanation
Choice A rationale:
Ensuring that blood products meet quality and safety standards is a fundamental aspect of blood transfusion safety.
Blood products must be properly screened and tested for infectious diseases and compatibility to reduce the risk of adverse reactions in the recipient.
Choice B rationale:
Using the right blood product for the right patient at the right time is a critical safety measure.
Administering the wrong blood type or product can lead to severe and life-threatening reactions, such as hemolytic transfusion reactions.
Choice C rationale:
Applying a barcode system or electronic verification system for patient and product identification is essential for ensuring that the correct blood product is matched to the right patient.
This technology helps prevent administration errors.
Choice D rationale:
Administering blood products using reusable equipment is not recommended due to the risk of cross-contamination and infection transmission.
Single-use, disposable equipment is the standard for blood transfusion to enhance safety.
Choice E rationale:
Disposing of used blood products and materials according to hospital policy is crucial to prevent potential contamination and reduce the risk of infection transmission.
Proper disposal procedures are a part of overall transfusion safety protocols.
Choice D is not a recommended safety measure as using reusable equipment for blood transfusions can increase the risk of contamination and transmission of infections.
Therefore, it should not be included as part of blood transfusion safety measures.
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