A client with blood type O+ is scheduled for surgery.
The nurse is reviewing the compatibility of blood types for potential transfusion during the procedure.
Which of the following blood types can be safely transfused to this client?

Choice A rationale:

Whole blood.

Rationale: Whole blood contains all blood components, including red blood cells, plasma, platelets, and clotting factors.

It is used for patients with symptomatic anemia and ongoing bleeding, as it can address both the anemia and provide clotting factors to assist in hemostasis.

Choice B rationale:

Packed red blood cells (PRBCs)

Rationale: Packed red blood cells are primarily used to increase the oxygen-carrying capacity in patients with anemia or significant blood loss.

While they can address the anemia component of the patient's condition, they do not provide clotting factors.

Therefore, they may not be the best choice for patients with ongoing bleeding.

Choice C rationale:

Fresh frozen plasma (FFP)

Rationale: Fresh frozen plasma is rich in clotting factors and is used to treat bleeding disorders or clotting factor deficiencies.

It can be beneficial for patients with bleeding issues but does not address the anemia component of the patient's condition.

Choice D rationale:

Platelets.

Rationale: Platelets are responsible for clot formation and are primarily used to treat thrombocytopenia or clotting disorders.

They do not address the anemia component of the patient's condition and are not typically considered an alternative to blood transfusion for anemic patients with ongoing bleeding.

ABO and Rh Blood Group Systems:

Choice A rationale:

B- blood can be safely transfused to a client with blood type B+ since B+ individuals do not have anti-B antibodies.

However, the reverse is not true.

A client with blood type B+ should not receive B- blood because B- blood has anti-A antibodies that can react with the A antigen present on the recipient's red blood cells.

Choice B rationale:

A- blood can be safely transfused to a client with blood type B+ since B+ individuals do not have anti-A antibodies.

However, the reverse is not true.

A client with blood type B+ should not receive A- blood because A- blood has anti-B antibodies that can react with the B antigen present on the recipient's red blood cells.

Choice C rationale:

O- blood can be safely transfused to a client with blood type B+ because O- blood is universally compatible with all blood types.

O- blood does not contain A, B, or RhD antigens, making it safe for transfusion to recipients with any blood type.

Choice D rationale:

AB- blood can be safely transfused to a client with blood type B+ since B+ individuals do not have anti-A or anti-B antibodies.

However, the reverse is not true.

A client with blood type B+ should not receive AB- blood because AB- blood contains both A and B antigens, which can react with the antibodies present in the recipient's plasma.