A nurse is caring for a patient who refuses a blood transfusion due to religious beliefs.
What alternative option can the nurse suggest to reduce the risk of incompatibility, infection, and immunologic reaction?
"I recommend autologous transfusion, where you donate your own blood before surgery and receive it back during or after the procedure.”
"You should consider erythropoietin therapy, as it stimulates red blood cell production and reduces the need for transfusion.”
"Iron therapy can help increase your hemoglobin levels and reduce the need for transfusion; it's available orally or intravenously.”
"You may benefit from hemostatic agents, which promote clotting and stop bleeding when needed.”
The Correct Answer is A
Choice A rationale:
Autologous transfusion involves collecting and storing the patient's blood before a planned surgery or procedure, eliminating the risk of incompatibility, infection, and immunologic reactions associated with allogeneic (donor) blood transfusions.
This option aligns with the patient's religious beliefs and offers a safe alternative.
Choice B rationale:
Erythropoietin therapy stimulates red blood cell production but does not eliminate the need for transfusion entirely.
It may not align with the patient's refusal of blood products due to religious beliefs.
Choice C rationale:
Iron therapy can increase hemoglobin levels but may not completely eliminate the need for transfusion.
It also may not be a suitable alternative for the patient's specific condition.
Choice D rationale:
Hemostatic agents are not a substitute for blood transfusion.
They are used to control bleeding but do not address anemia or increase hemoglobin levels.
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
Explanation
Choice A rationale:
Whole blood.
Rationale: Whole blood contains all blood components, including red blood cells, plasma, platelets, and clotting factors.
It is used for patients with symptomatic anemia and ongoing bleeding, as it can address both the anemia and provide clotting factors to assist in hemostasis.
Choice B rationale:
Packed red blood cells (PRBCs)
Rationale: Packed red blood cells are primarily used to increase the oxygen-carrying capacity in patients with anemia or significant blood loss.
While they can address the anemia component of the patient's condition, they do not provide clotting factors.
Therefore, they may not be the best choice for patients with ongoing bleeding.
Choice C rationale:
Fresh frozen plasma (FFP)
Rationale: Fresh frozen plasma is rich in clotting factors and is used to treat bleeding disorders or clotting factor deficiencies.
It can be beneficial for patients with bleeding issues but does not address the anemia component of the patient's condition.
Choice D rationale:
Platelets.
Rationale: Platelets are responsible for clot formation and are primarily used to treat thrombocytopenia or clotting disorders.
They do not address the anemia component of the patient's condition and are not typically considered an alternative to blood transfusion for anemic patients with ongoing bleeding.
ABO and Rh Blood Group Systems:
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