A patient with a history of a transfusion-related acute lung injury (TRALI) is to receive a transfusion of packed red blood cells (PRBCs). Which action by the nurse will decrease the risk for TRALI for this patient?
a. Infuse the PRBCs slowly over 4 hours.
b. Transfuse only leukocyte-reduced PRBCs.
c. Administer the scheduled diuretic before the transfusion.
d. Give the PRN dose of antihistamine before the transfusion.
Question 2
A 68-year-old woman with acute myelogenous leukemia (AML) asks the nurse whether the planned chemotherapy will be worth undergoing. Which response by the nurse is appropriate?
a. If you do not want to have chemotherapy, other treatment options include stem cell transplantation.
b. The side effects of chemotherapy are difficult, but AML frequently goes into remission with chemotherapy.
c. The decision about treatment is one that you and the doctor need to make rather than asking what I would do.
d. You don't need to make a decision about treatment right now because leukemias in adults tend to progress quite slowly.
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