A patient with a history of a transfusion-related acute lung ...

[abc]

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.

[Andromeda18]

Answer to Question 1

ANS: B
TRALI is caused by a reaction between the donor and the patient leukocytes that causes pulmonary inflammation and capillary leaking. The other actions may help prevent respiratory problems caused by circulatory overload or by allergic reactions, but they will not prevent TRALI.

Answer to Question 2

ANS: B
This response uses therapeutic communication by addressing the patient's question and giving accurate information. The other responses either give inaccurate information or fail to address the patient's question, which will discourage the patient from asking the nurse for information.

[abc]

Thanks for the timely response, appreciate it

[tranoy]

Gracias!