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:

"I can receive blood from donors with blood types A-, O+, or O-." Rationale: This statement is incorrect because individuals with blood type A- can only receive blood from donors with blood type A- or O-.

Rh factor (positive or negative) is a critical consideration in blood compatibility.

Choice B rationale:

"I can receive blood from donors with blood types A- or O-." Rationale: This statement is accurate.

Individuals with blood type A- can safely receive blood from donors with blood type A- (the same type) or O- (universal donor for A- individuals)

The negative Rh factor ensures compatibility.

Choice C rationale:

"I can receive blood from donors with blood types A-, A+, O+, or O-." Rationale: This statement is incorrect.

Individuals with blood type A- should not receive blood from donors with A+ because the Rh factor is incompatible.

A- individuals can only safely receive Rh-negative blood.

Choice D rationale:

"I can receive blood from donors with blood types A-, A+, or O-." Rationale: This statement is incorrect because it suggests that an A- individual can receive blood from A+ donors.

As mentioned earlier, the Rh factor must be compatible, and A- individuals should not receive Rh-positive blood.

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.