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:

AB+ blood type contains both A and B antigens as well as the Rh antigen (positive)

Blood type O+ has neither A nor B antigens but does have the Rh antigen.

Therefore, AB+ blood cannot be safely transfused to a client with blood type O+ as it would lead to a mismatch in ABO compatibility.

Choice B rationale:

O- blood type is the universal donor for red blood cell transfusions.

It lacks both A and B antigens as well as the Rh antigen, making it compatible with all other blood types.

Since the client in question has blood type O+, which is Rh-positive, O- blood can be safely transfused without any ABO or Rh incompatibility.

Choice C rationale:

A+ blood type contains A antigens and the Rh antigen (positive)

Blood type O+ lacks A antigens but does have the Rh antigen.

Therefore, A+ blood is not compatible with O+ blood due to ABO incompatibility.

Choice D rationale:

B+ blood type contains B antigens and the Rh antigen (positive)

Blood type O+ lacks B antigens but does have the Rh antigen.

Therefore, B+ blood is not compatible with O+ blood due to ABO incompatibility.

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)