A client who received a blood transfusion starts experiencing abdominal pain, nausea, vomiting, and diarrhea.
What type of transfusion reaction is the client likely experiencing?

Choice A rationale:

Transfusion-associated circulatory overload (TACO) is characterized by symptoms related to fluid overload, such as dyspnea and fluid accumulation, but not abdominal symptoms like abdominal pain, nausea, vomiting, and diarrhea.

Choice B rationale:

Transfusion-related acute lung injury (TRALI) primarily presents with respiratory symptoms and is not associated with gastrointestinal symptoms like nausea, vomiting, and diarrhea.

Choice C rationale:

Acute hemolytic reactions occur when there is a mismatch between the donor and recipient blood types, resulting in rapid destruction of transfused red blood cells.

Symptoms include abdominal pain, nausea, vomiting, and diarrhea, which are consistent with the client's presentation described in the question.

Choice D rationale:

Allergic reactions to blood transfusions typically present with symptoms like itching, hives, and flushing, but not with gastrointestinal symptoms like abdominal pain, nausea, vomiting, and diarrhea.

Choice A rationale:

Fever is a potential sign of a delayed transfusion reaction.

Delayed transfusion reactions can occur several days after a blood transfusion and may present with fever as a symptom.

This can be indicative of hemolysis or an immune response to the transfused blood.

Choice C rationale:

Jaundice is another sign that the nurse should monitor for delayed transfusion reactions.

Jaundice can be a result of hemolysis, where the red blood cells are destroyed, leading to an increase in bilirubin levels in the bloodstream.

Choice B rationale:

Increased urine output is not typically associated with delayed transfusion reactions.

Delayed reactions are more likely to manifest as fever, jaundice, or other signs of hemolysis.

Choice D rationale:

Hypertension is not a common sign of delayed transfusion reactions.

These reactions are more likely to present with symptoms related to the destruction of red blood cells, such as fever and jaundice.

Choice E rationale:

Decreased oxygen saturation is not a typical sign of delayed transfusion reactions.

It is important to monitor oxygen saturation during a blood transfusion, but this is more relevant to immediate transfusion reactions, such as transfusion-related acute lung injury (TRALI)