A client with blood type AB-positive (AB+) requires a blood transfusion. Which blood types can safely donate to this client?

A-negative (A-), B-negative (B-), AB-negative (AB-), and O-positive (O+).

A-positive (A+), O-negative (O-), AB-negative (AB-), and B-positive (B+).

A-negative (A-), B-positive (B+), AB-negative (AB-), and O-positive (O+).

All of the above

None

Answer and Explanation

The Correct Answer is D

A. A-negative (A-), B-negative (B-), AB-negative (AB-), and O-positive (O+) are all compatible with AB-positive (AB+) since AB+ individuals can receive any blood type.
B. A-positive (A+), O-negative (O-), AB-negative (AB-), and B-positive (B+) are also compatible for the same reason.
C. A-negative (A-), B-positive (B+), AB-negative (AB-), and O-positive (O+) are all suitable donor types.
D. AB-positive (AB+) is the universal recipient and can receive blood from any blood type.

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Correct Answer is C

Explanation

A) Incorrect: Warming the blood product in a microwave oven is not an appropriate action and could lead to hemolysis of the blood components. Blood should be warmed using an approved blood warmer designed for this purpose.

B) Incorrect: Administering a discolored blood product or one containing clots is unsafe and could cause harm to the client. The nurse should not proceed with the administration and should take appropriate actions.

C) Correct: If the nurse discovers that the blood product is discolored or contains clots, the nurse should discard the blood product appropriately and notify the blood bank immediately. This will ensure that the client receives a safe and suitable blood product for the transfusion.

D) Incorrect: Filtering the blood product through a standard IV filter is not sufficient to remove any clots present in the blood product. Using a blood product that appears abnormal could lead to adverse reactions in the client, so it is essential to obtain a replacement from the blood bank.

A. Increase in blood pressure by 10 mmHg from the baseline. B. Respiratory rate of 22 breaths per minute. C. Heart rate decrease from 88 to 72 beats per minute. D. Temperature elevation to 38.5°C (101.3°F).

Correct Answer is D

Explanation

A) Incorrect: A slight increase in blood pressure is not a significant vital sign alteration that requires immediate reporting before initiating the transfusion. It could be related to various factors, such as anxiety or pain.

B) Incorrect: A respiratory rate of 22 breaths per minute is within the normal range for an adult and does not require immediate reporting before starting the transfusion.

C) Incorrect: A decrease in heart rate from 88 to 72 beats per minute is not a critical vital sign alteration. As long as the heart rate remains within the client's baseline range, it does not need immediate reporting.

D) Correct: An elevated temperature of 38.5°C (101.3°F) may indicate a fever, which could be a sign of an infection or an adverse reaction to the transfusion. The nurse should report this vital sign alteration to the healthcare provider before proceeding with the transfusion to determine the appropriate course of action.

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A client with blood type AB-positive (AB+) requires a blood transfusion. Which blood types can safely donate to this client?

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Naxlex Comprehensive Predictor Exams

A client is scheduled to receive a blood transfusion, but the nurse discovers that the blood product appears discolored or contains clots. What should the nurse do next?

Correct Answer is C

Explanation

A nurse is preparing to administer a blood transfusion to a client. Which vital sign alteration should the nurse report to the healthcare provider before initiating the transfusion?

Correct Answer is D

Explanation

A nurse is preparing to initiate a blood transfusion for a client. Which action should the nurse take first to ensure client safety?

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A nurse is preparing to administer a blood transfusion to a client. What is the nurse's priority action to prevent a potential complication related to blood compatibility?

A client with a history of transfusion reactions requires a blood transfusion. Which blood component should the nurse ensure is transfused to minimize the risk of a future reaction?

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A nurse is providing post-transfusion care to a client who just received a blood transfusion. Which assessment finding should the nurse report to the healthcare provider immediately?

A client receiving a blood transfusion suddenly develops chills, fever, and lower back pain. The nurse suspects a transfusion reaction. What is the nurse's priority action?