A nurse is educating a group of nursing students about blood transfusion compatibility.
Select all the blood types that can be safely transfused to a client with blood type O-.

Choice A rationale:

Verify the patient's identification.

Rationale: Ensuring the correct patient is receiving the blood transfusion is a critical safety step.

Verifying the patient's identification helps prevent transfusion errors and ensures that the right blood product is administered to the right patient.

Choice B rationale:

Obtain informed consent.

Rationale: Obtaining informed consent is a necessary step before any medical procedure, including blood transfusions.

It ensures that the patient understands the risks, benefits, and alternatives to the transfusion and has the opportunity to ask questions and make an informed decision.

Choice E rationale:

Document the procedure accurately.

Rationale: Accurate documentation is essential for maintaining a complete record of the transfusion process.

It includes documenting the patient's identification, vital signs, the type and volume of blood product administered, any adverse reactions, and the patient's response to the transfusion.

This documentation serves as a legal and clinical record of the procedure.

Choice C rationale:

Monitor vital signs during the transfusion.

Rationale: While monitoring vital signs is important during a blood transfusion, it is not a responsibility before initiating the transfusion.

Vital sign monitoring occurs during the transfusion to detect any immediate adverse reactions or transfusion-related complications.

Choice D rationale:

Prepare the patient for an exchange transfusion.

Rationale: Preparing a patient for an exchange transfusion is not a nursing responsibility before initiating a routine blood transfusion.

Exchange transfusions are typically used for specific medical conditions, such as hemolytic disease of the newborn or sickle cell disease, and involve the removal and replacement of a large volume of blood.

Standard blood transfusions do not require this preparation.

For , fresh frozen plasma (FFP) is the most suitable blood product for increasing fibrinogen levels in a patient with hemophilia A.

For , the nursing responsibilities before initiating a blood transfusion include verifying the patient's identification, obtaining informed consent, and documenting the procedure accurately.

Monitoring vital signs is important but occurs during the transfusion, and preparing the patient for an exchange transfusion is not relevant to routine blood transfusions.

"I'll verify the physician's order for the specific blood product."

Choice A rationale:

Selecting any available intravenous site for the transfusion without verifying the physician's order is unsafe and can lead to administering the wrong blood product or causing an adverse reaction in the patient.

Verifying the order is a critical step in ensuring patient safety during a blood transfusion.

Choice B rationale:

Using a blood administration set with additives may be necessary in some cases, but it is not the primary action the nurse should take before starting the transfusion.

Verifying the physician's order is the first and most crucial step.

Choice C rationale:

Verifying the physician's order for the specific blood product is essential to confirm that the correct blood type and unit are being administered to the patient.

This step ensures ABO and Rh compatibility and minimizes the risk of transfusion reactions.

Choice D rationale:

Administering the transfusion as quickly as possible is not appropriate and can be dangerous.

Transfusions should be administered at a controlled and appropriate rate to monitor for any adverse reactions.

Rushing the transfusion can increase the risk of complications.