The nurse observes that a client, whose blood type is AB-negative, is receiving a transfusion with type O-negative packed red blood cells. Which action does the nurse take first?
a. Report the problem to the blood bank.
b. Assess and record the client's vital signs.
c. Stop the transfusion and keep the IV open.
d. Administer prescribed diphenhydramine (Benadryl).
B
Clients with an AB-negative blood type can receive O-negative blood because they do not have antibodies against this type of blood. The transfusion can proceed. The nurse monitors the client's vital signs as if he or she were receiving type AB-negative packed red blood cells. The blood bank would not need to be called. Blood would not need to be stopped because the blood is compatible with the client's blood type. Benadryl would be given only if the client had an al-lergic reaction.
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