A nurse is assessing a client's history before a blood transfusion. Which condition should the nurse identify as a contraindication for transfusion?

Iron-deficiency anemia

Chronic kidney disease

Hemolytic anemia

Hypertension

Answer and Explanation

The Correct Answer is C

A) Incorrect: Iron-deficiency anemia is not a contraindication for a blood transfusion. In fact, it is one of the common indications for transfusion in clients with severe anemia.

B) Incorrect: Chronic kidney disease is not a contraindication for a blood transfusion. Transfusions may be necessary for clients with chronic kidney disease who develop anemia due to decreased erythropoietin production.

C) Correct: Hemolytic anemia is a contraindication for a blood transfusion. This condition involves the destruction of red blood cells, and a transfusion with incompatible blood can worsen the hemolysis and lead to a severe transfusion reaction.

D) Incorrect: Hypertension is not a contraindication for a blood transfusion. While the nurse should monitor blood pressure during the transfusion, hypertension alone does not preclude the need for a transfusion in a client with other indications for blood products.

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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. A-negative (A-), B-negative (B-), AB-positive (AB+), and O-positive (O+). B. A-positive (A+), AB-negative (AB-), O-positive (O+), and B-negative (B-). C. AB-negative (AB-), O-positive (O+), AB-positive (AB+), and B-positive (B+). D. O-negative (O-), B-positive (B+), and O-positive (O+). E. None F. None

Correct Answer is D

Explanation

A. A-negative (A-) and AB-positive (AB+) are incompatible with B-positive (B+), as individuals with B+ blood can only receive blood from B or O types.
B. A-positive (A+) and AB-negative (AB-) are incompatible for the same reason.
C. AB-negative (AB-) and AB-positive (AB+) are not suitable donors for B-positive (B+) recipients.
D. O-negative (O-), B-positive (B+), and O-positive (O+) are all compatible with B-positive (B+), making this the correct choice.

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A nurse is assessing a client's history before a blood transfusion. Which condition should the nurse identify as a contraindication for transfusion?

Nursing Test Bank

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 client with blood type B-positive (B+) requires a blood transfusion. Which blood types are compatible with this client for a crossmatch?

Correct Answer is D

Explanation

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A nurse is preparing to crossmatch blood for a client with blood type O-positive(O+). Which blood type can safely receive blood from this client?