A client is scheduled to receive a blood transfusion, but the nurse discovers that the blood product appears discolored or contains clots. What should the nurse do next?

Warm the blood product in a microwave oven to improve its condition.

Administer the blood product as usual and monitor the client closely for reactions.

Discard the blood product appropriately and notify the blood bank for a replacement.

Filter the blood product through a standard IV filter to remove any clots.

Answer and Explanation

The Correct Answer is C

A) Incorrect: Warming the blood product in a microwave oven is not an appropriate action and could lead to hemolysis of the blood components. Blood should be warmed using an approved blood warmer designed for this purpose.

B) Incorrect: Administering a discolored blood product or one containing clots is unsafe and could cause harm to the client. The nurse should not proceed with the administration and should take appropriate actions.

C) Correct: If the nurse discovers that the blood product is discolored or contains clots, the nurse should discard the blood product appropriately and notify the blood bank immediately. This will ensure that the client receives a safe and suitable blood product for the transfusion.

D) Incorrect: Filtering the blood product through a standard IV filter is not sufficient to remove any clots present in the blood product. Using a blood product that appears abnormal could lead to adverse reactions in the client, so it is essential to obtain a replacement from the blood bank.

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Free Nursing Study Resources

Correct Answer is ["A","B","D"]

Explanation

A) Obtaining the client's informed consent is a critical step before any medical procedure, including blood transfusions. This ensures the client understands the risks and benefits of the transfusion and gives their consent willingly.

B) Confirming the client's blood type and Rh factor with the blood bank is essential to prevent transfusion reactions. Mismatching blood types can lead to severe transfusion reactions and is a crucial step in the transfusion process.

C) Administering pre-medication to prevent transfusion reactions is not a standard practice. However, the nurse should assess the client for any risk factors or history of previous transfusion reactions to take appropriate precautions.

D) Assessing the client's blood pressure and heart rate is an important part of the overall assessment before the blood transfusion.

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 client is scheduled to receive a blood transfusion, but the nurse discovers that the blood product appears discolored or contains clots. What should the nurse do next?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to administer a unit of packed red blood cells (PRBCs) to a client with severe anemia. Before starting the blood transfusion, the nurse should:

Correct Answer is ["A","B","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

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A nurse is providing post-transfusion care to a client who just received a blood transfusion. Which assessment finding should the nurse report to the healthcare provider immediately?

A nurse is preparing to crossmatch blood for a client with blood type O-positive(O+). Which blood type can safely receive blood from this client?

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