A nurse is reviewing a client's blood compatibility results before a blood transfusion. The crossmatch shows agglutination and incompatibility between the donor's red blood cells and the client's plasma. What action should the nurse take?

Administer the blood transfusion slowly to observe for any reactions.

Discontinue the blood transfusion immediately and return the blood to the blood bank.

Increase the infusion rate to flush out the incompatibility.

Mix the incompatible blood with normal saline before transfusion.

Answer and Explanation

The Correct Answer is B

A) Incorrect: Administering the blood transfusion when agglutination and incompatibility are detected is unsafe and may lead to severe transfusion reactions. The nurse should not proceed with the transfusion.

B) Correct: In the presence of agglutination and incompatibility between the donor's red blood cells and the client's plasma, the nurse must discontinue the blood transfusion immediately and return the blood to the blood bank. This ensures the client's safety and prevents further adverse reactions.

C) Incorrect: Increasing the infusion rate will not resolve the incompatibility issue and may worsen the client's condition. The nurse should stop the transfusion promptly.

D) Incorrect: Mixing the incompatible blood with normal saline will not resolve the incompatibility issue and is not a safe practice. The nurse should not proceed with the transfusion and should return the blood to the blood bank.

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Correct Answer is D

Explanation

A. A-negative (A-), B-negative (B-), AB-negative (AB-), and O-positive (O+) are all compatible with AB-positive (AB+) since AB+ individuals can receive any blood type.
B. A-positive (A+), O-negative (O-), AB-negative (AB-), and B-positive (B+) are also compatible for the same reason.
C. A-negative (A-), B-positive (B+), AB-negative (AB-), and O-positive (O+) are all suitable donor types.
D. AB-positive (AB+) is the universal recipient and can receive blood from any blood type.

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 reviewing a client's blood compatibility results before a blood transfusion. The crossmatch shows agglutination and incompatibility between the donor's red blood cells and the client's plasma. What action should the nurse take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with blood type AB-positive (AB+) requires a blood transfusion. Which blood types can safely donate to this client?

Correct Answer is D

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

A nurse is caring for a client who experiences an acute hemolytic transfusion reaction. What intervention should the nurse anticipate implementing?

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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?

A client who received a blood transfusion 2 hours ago is now experiencing symptoms of a transfusion reaction, including fever, chills, and shortness of breath. What is the nurse's priority action?