A nurse is assessing a patient who received a blood transfusion 2 hours ago.
The nurse notes that the patient has developed dyspnea, orthopnea, tachypnea, and crackles on lung auscultation.
Which type of transfusion reaction should the nurse suspect?

Choice A rationale:

Transfusion-associated circulatory overload (TACO) is not caused by antibodies in the donor's plasma.

It is primarily a result of excessive volume administered during a transfusion.

Choice B rationale:

Transfusion-related acute lung injury (TRALI) is indeed a leading cause of transfusion-related mortality.

TRALI is characterized by acute respiratory distress and is caused by antibodies in the donor's plasma that react with leukocytes in the recipient's lungs.

Choice C rationale:

Febrile nonhemolytic reaction is not the most common type of transfusion reaction.

It is relatively common but not the most common.

Other reactions, like allergic reactions or acute hemolytic reactions, can also occur.

Choice D rationale:

Allergic reactions are not typically caused by ABO incompatibility between the donor and recipient blood.

ABO incompatibility is more likely to lead to acute hemolytic reactions.

Allergic reactions are usually triggered by sensitivities to plasma proteins or allergens in the blood product.

Choice E rationale:

Bacterial contamination of blood products can indeed result in sepsis.

This is a severe and life-threatening complication of transfusion, making it important to ensure the safety of blood products and proper handling to prevent contamination.

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.