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    HESI RN Exit Proctored ExamQuestion 22
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    HESI RN Exit Proctored Exam

    Following a gunshot wound, an adult client has a hemoglobin level of 4 g/dL (40 g/L). The nurse prepares to administer a unit of blood for an emergency transfusion. The client has AB negative blood type and the blood bank sends a unit of Type A Rh negative, reporting that there is no Type AB negative blood currently available. Which intervention should the nurse implement? Reference Range Hemoglobin [14 to 18 g/dL (140 to 180 g/L)

    Explanation & Rationale

    A. Obtain additional consent for administration of Type A negative blood. This is not necessary, as the patient is being given a blood type compatible with their Rh factor. B. Recheck the client's hemoglobin, blood type, and Rh factor. These values have already been determined and do not require rechecking unless there is a specific concern. C. Transfuse Type A negative blood until Type AB negative is available. In an emergency, it is acceptable to transfuse Type A negative blood to an AB negative patient as the Rh factor is the same, and the A antigen in the blood is not an immediate issue in this context. D. Administer normal saline solution until Type AB negative is available. While normal saline can be used to support blood volume, the priority is to correct the patient's severe anemia with blood transfusion.

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