HESI Compass 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?
Explanation & Rationale
Choice A reason: Administering normal saline solution alone will not address the severe anemia caused by the low hemoglobin level.Choice B reason: Obtaining additional consent is necessary, but it is not the immediate action required in this emergency situation.Choice C reason: Rechecking the client's hemoglobin, blood type, and Rh factor is important, but the immediate priority is to address the severe anemia.Choice D reason: Transfusing Type A negative blood is appropriate because it is compatible with AB negative blood and is necessary to treat the client's critical anemia.
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