A nurse is caring for a client who is receiving a transfusion of packed RBCs. The nurse notes that the client's blood type is AB positive and the blood infusing is labeled type B negative. Which of the following actions should the nurse take?
Explanation & Rationale
Rationale: A. Stop the blood transfusion immediately: There is no need to stop the transfusion, as type B negative blood is compatible with AB positive recipients. AB positive individuals are universal recipients and can safely receive red blood cells from any ABO and Rh-negative or Rh-positive blood type. B. Prepare to administer antipyretics: Antipyretics are not required unless the client shows signs of a febrile reaction. There is no indication from the question that the client is experiencing such symptoms. C. Monitor the client for any adverse reactions: This is the appropriate action. Although the blood type is compatible, it is standard protocol to closely monitor all clients during transfusion for signs of adverse reactions, especially within the first 15 minutes. D. Transfuse the blood over 6 hr: Blood transfusions should be completed within 4 hours to reduce the risk of bacterial growth and hemolysis. Extending the transfusion to 6 hours violates safety guidelines.