Author Question: A client with hemophilia A is being prepared to receive a transfusion of clotting factors, and ... (Read 24 times)

SGallaher96 · **on:** Jun 25, 2018

A client with hemophilia A is being prepared to receive a transfusion of clotting factors, and expresses concern about contracting HIV from the transfusion. The best explanation the nurse can provide is:

1. You won't be receiving whole blood, so you shouldn't worry about HIV contamination.
2. That certainly is always a concern. You can refuse the treatment if you prefer.
3. Rigorous screening of donors and treatment of donated blood have significantly reduced the risk.
4. The blood that is donated is screened, so you should not worry.

Question 2

When making morning rounds, a client with acute leukemia reports having nosebleeds off and on throughout the night. Which action should be taken by the nurse?

1. Check the client's blood pressure and pulse.
2. Determine whether client has pain anywhere.
3. Report the findings to the physician.
4. Apply a water-soluble lubricant to the nares.

jaygar71 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Answer: 3

1. Since 1985, rigorous screening of donors and heat treating of blood products has significantly reduced the risk of HIV transmission.
2. The client needs the transfusion and should not be encouraged to refuse treatment.
3. Since 1985, rigorous screening of donors and heat treating of blood products has significantly reduced the risk of HIV transmission.
4. It is best to be honest with the client and acknowledge there is still a risk involved.

Answer to Question 2

Answer: 3

1. This should be done after notifying the physician.
2. This should be done after notifying the physician.
3. Manifestations of bleeding such as bleeding gums and nosebleeds should be reported promptly, since bleeding can lead to death in acute leukemia.
4. Lubricating the nares is not necessary.