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-.
A+.
B-.
AB+.
O+.
O-.
Correct Answer : A,B,D,E
Choice A rationale:
A+ blood can be safely transfused to a client with blood type O-.
The rationale is that the recipient, in this case, does not have antibodies against the A antigen, which is present on A+ blood.
Therefore, there is no antigen-antibody reaction.
Choice B rationale:
B- blood can be safely transfused to a client with blood type O-.
The rationale is similar to choice A, as the recipient does not have antibodies against the B antigen, which is present on B- blood.
Choice C rationale:
AB+ blood contains both A and B antigens and RhD antigen, which can potentially react with antibodies present in a client with blood type O-.
Therefore, it is not safe to transfuse AB+ blood to a client with blood type O-.
Choice D rationale:
O+ blood can be safely transfused to a client with blood type O-.
The rationale is that O+ blood does not have A or B antigens, which could react with antibodies present in the recipient.
Choice E rationale:
O- blood is compatible with blood type O- because it does not contain A, B, or RhD antigens, which could be targeted by antibodies in the recipient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
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.
Correct Answer is D
Explanation
Allergic reaction.
Choice A rationale:
Transfusion-related acute lung injury (TRALI) usually presents with acute respiratory distress, not urticaria, pruritus, and flushing.
It is characterized by the sudden onset of dyspnea, hypoxemia, and pulmonary edema.
Choice B rationale:
Bacterial contamination of blood products can lead to sepsis, but the symptoms described in the question (urticaria, pruritus, and flushing) are not indicative of bacterial contamination.
Symptoms of bacterial contamination would typically include fever, chills, and signs of infection.
Choice C rationale:
Febrile nonhemolytic reactions can cause fever, chills, and rigors, but they are not associated with urticaria, pruritus, or flushing.
Choice D rationale:
An allergic reaction, also known as a hypersensitivity reaction, can manifest with symptoms like urticaria (hives), pruritus (itching), and flushing.
These symptoms are indicative of an allergic response to components in the blood product, such as plasma proteins or allergens.
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