A nurse is educating a patient about blood transfusion alternatives.
Which alternative to blood transfusion may be considered for patients with symptomatic anemia and ongoing bleeding?
Whole blood.
Packed red blood cells (PRBCs)
Fresh frozen plasma (FFP)
Platelets.
The Correct Answer is A
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:
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Verifying the patient's identification is an essential step in patient safety, but it alone does not ensure transfusion safety.
Transfusion safety involves multiple steps beyond identification.
Choice B rationale:
Maintaining aseptic technique and infection control practices is crucial during a blood transfusion.
This includes using sterile equipment, wearing gloves, and following proper hand hygiene.
Infection can be a severe complication of transfusion if proper precautions are not taken.
Choice C rationale:
Administering blood products using old and sterile equipment is not a safe practice.
Blood transfusions require the use of fresh, sterile equipment to prevent contamination and ensure patient safety.
Choice D rationale:
Monitoring the patient's condition only after the transfusion is not sufficient to ensure safety.
Continuous monitoring during the transfusion is necessary to detect and respond to any adverse reactions promptly.
Correct Answer is D
Explanation
Choice A rationale:
This choice is incorrect.
While individuals with AB+ blood type are considered universal recipients for plasma components, they cannot receive blood from donors with the O- blood type.
Choice B rationale:
This choice is also incorrect.
AB+ individuals can receive blood from AB+ and AB- donors, but not exclusively from them.
Choice C rationale:
This choice is incorrect as well.
AB+ individuals can receive blood from AB+ donors, A+ donors, and B+ donors, but this statement does not provide a complete and accurate picture of their compatibility.
Choice D rationale:
This choice is correct.
Individuals with blood type AB+ can safely receive blood from donors with blood types AB+, A+, A-, or B+.
The rationale behind this is that AB+ individuals have both A and B antigens on their red blood cells and do not have anti-A or anti-B antibodies in their plasma.
Therefore, they can receive blood with ABO and RhD compatibility.
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