A client with blood type B+ needs a blood transfusion.
Which of the following blood types can the nurse safely administer to this client?

Choice A rationale:

Choosing a site with infiltration or phlebitis is not appropriate for a blood transfusion.

Infiltration can lead to the transfused blood leaking into the surrounding tissues, and phlebitis can cause discomfort and complications.

A suitable site should be chosen for the transfusion.

Choice B rationale:

Using the same IV line for other medications without flushing it between medications can lead to drug interactions or contamination.

It is generally not recommended to mix blood transfusions with other medications in the same line.

Choice C rationale:

Avoiding sites with edema or infection is a crucial consideration when selecting an intravenous site for a blood transfusion.

Using a site with edema can make it difficult to insert the catheter, and using a site with infection can introduce pathogens into the bloodstream.

Choice D rationale:

Using a 24-gauge IV catheter for a blood transfusion may not be suitable for all patients.

The size of the catheter should be appropriate for the type of blood product being transfused and the patient's vein size.

A larger catheter may be necessary for blood products with higher viscosity.

Choice A rationale:

Transfusion-related acute lung injury (TRALI) is characterized by acute respiratory distress and is usually not associated with abdominal symptoms.

TRALI is more common in patients receiving plasma-containing blood products.

Choice B rationale:

Transfusion-associated circulatory overload (TACO) occurs when a patient receives a volume of blood or blood products that exceeds their circulatory system's capacity.

Symptoms include dyspnea, orthopnea, tachypnea, and crackles on lung auscultation, which match the symptoms described in the question.

This condition is more likely when blood products are transfused too rapidly or in excessive volume.

Choice C rationale:

Allergic reactions to blood transfusions typically present with symptoms like itching, hives, and flushing, rather than the respiratory symptoms and crackles on lung auscultation described in the question.

Choice D rationale:

Febrile nonhemolytic reactions are characterized by fever and chills and do not typically manifest as dyspnea, orthopnea, tachypnea, or crackles on lung auscultation.