Chapter 28: Assessment of Hematologic Function and Treatment Modalitie Exam with verified question and answers

Chapter 28: Assessment of Hematologic Function and Treatment Modalitie Exam with verified question and answers 1. A nurse is caring for a client who will undergo total knee replacement and will have an autologous transfusion. Which statement will the nurse include when teaching the client about the transfusion? a) "You typically donate blood the day of the surgery." b) "You typically donate blood 4 to 6 weeks before the surgery." c) "You will likely not need the blood that is donated." d) "You will be prescribed calcium to replace what is lost during donation.": - "You typically donate blood 4 to 6 weeks before the surgery." Explanation: With autologous donation, a client's own blood may be collected for future trans- fusion; this is an effective method for orthopedic surgery, where the likelihood of transfusion is high. Preoperative donation is ideally collected 4-6 weeks before surgery. The nurse will not tell the client that the blood will not be needed; orthopedic surgeries often require transfusion of blood. The client will be prescribed iron supplements during the donation time, not calcium. 2. A nurse cares for an older adult client with acute myeloid leukemia (AML). What concept does the nurse understand leads to the increased risk of an older adult acquiring myeloid malignancies such as AML?