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:

Transfusion-associated circulatory overload (TACO) is characterized by symptoms related to fluid overload, such as dyspnea and fluid accumulation, but not abdominal symptoms like abdominal pain, nausea, vomiting, and diarrhea.

Choice B rationale:

Transfusion-related acute lung injury (TRALI) primarily presents with respiratory symptoms and is not associated with gastrointestinal symptoms like nausea, vomiting, and diarrhea.

Choice C rationale:

Acute hemolytic reactions occur when there is a mismatch between the donor and recipient blood types, resulting in rapid destruction of transfused red blood cells.

Symptoms include abdominal pain, nausea, vomiting, and diarrhea, which are consistent with the client's presentation described in the question.

Choice D rationale:

Allergic reactions to blood transfusions typically present with symptoms like itching, hives, and flushing, but not with gastrointestinal symptoms like abdominal pain, nausea, vomiting, and diarrhea.

"I'll stay with the patient for the entire transfusion."

Choice A rationale:

Staying with the patient for the entire transfusion is a crucial safety measure.

The nurse must monitor the patient for any signs of a transfusion reaction, such as fever, chills, rash, shortness of breath, or changes in vital signs.

Immediate intervention may be required if a reaction occurs.

Choice B rationale:

Adding medications to the blood bag is not within the nurse's scope of practice and should not be done without a specific physician's order.

Medications should be administered separately through a different IV line, if necessary, and only as ordered.

Choice C rationale:

Administering the transfusion at a rate of 4 mL/min is not a standard practice.

The rate of transfusion is determined by the physician's order and the patient's specific needs.

It is not a fixed rate and should be adjusted as needed.

Choice D rationale:

Using any available intravenous line for the transfusion may not be appropriate, especially if the line is already in use for other medications or fluids.

The nurse should select a dedicated line for the transfusion to minimize the risk of contamination or complications.