The nurse is preparing to administer a blood transfusion to a child with a severe anemia. Which type of transfusion reaction may be within the nurse's realm of prevention?
1. Allergic
2. Hemolytic
3. Febrile
4. Septic
2
Rationale 1: Allergic reactions are due to a protein in the donated blood to which the child reacts. The nurse cannot prevent this type of reaction.
Rationale 2: A hemolytic reaction results from mismatched blood, a preventable error. This error is most likely to occur at the bedside if the nurse does not carefully identify the unit of blood and the patient.
Rationale 3: A febrile reaction is related to contamination of blood. The nurse has no control over this type of reaction.
Rationale 4: Septic is another name for a febrile reaction and is not preventable by the nurse.
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