A client with blood type AB+ asks the nurse about the compatibility of blood types for receiving a blood transfusion.
Which of the following statements by the nurse is correct?
"You can receive blood from donors with blood types AB+, AB-, A+, A-, B+, B-, O+, or O-.”
"You can receive blood from donors with blood types AB+ or AB-.”
"You can receive blood from donors with blood types AB+, A+, or B+.”
"You can receive blood from donors with blood types AB+, A+, A-, or B+.”
The Correct Answer is D
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
"I can receive blood from donors with blood types A-, O+, or O-." Rationale: This statement is incorrect because individuals with blood type A- can only receive blood from donors with blood type A- or O-.
Rh factor (positive or negative) is a critical consideration in blood compatibility.
Choice B rationale:
"I can receive blood from donors with blood types A- or O-." Rationale: This statement is accurate.
Individuals with blood type A- can safely receive blood from donors with blood type A- (the same type) or O- (universal donor for A- individuals)
The negative Rh factor ensures compatibility.
Choice C rationale:
"I can receive blood from donors with blood types A-, A+, O+, or O-." Rationale: This statement is incorrect.
Individuals with blood type A- should not receive blood from donors with A+ because the Rh factor is incompatible.
A- individuals can only safely receive Rh-negative blood.
Choice D rationale:
"I can receive blood from donors with blood types A-, A+, or O-." Rationale: This statement is incorrect because it suggests that an A- individual can receive blood from A+ donors.
As mentioned earlier, the Rh factor must be compatible, and A- individuals should not receive Rh-positive blood.
Correct Answer is C
Explanation
"I'll verify the physician's order for the specific blood product."
Choice A rationale:
Selecting any available intravenous site for the transfusion without verifying the physician's order is unsafe and can lead to administering the wrong blood product or causing an adverse reaction in the patient.
Verifying the order is a critical step in ensuring patient safety during a blood transfusion.
Choice B rationale:
Using a blood administration set with additives may be necessary in some cases, but it is not the primary action the nurse should take before starting the transfusion.
Verifying the physician's order is the first and most crucial step.
Choice C rationale:
Verifying the physician's order for the specific blood product is essential to confirm that the correct blood type and unit are being administered to the patient.
This step ensures ABO and Rh compatibility and minimizes the risk of transfusion reactions.
Choice D rationale:
Administering the transfusion as quickly as possible is not appropriate and can be dangerous.
Transfusions should be administered at a controlled and appropriate rate to monitor for any adverse reactions.
Rushing the transfusion can increase the risk of complications.
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