A patient had an acute hemolytic transfusion reaction that resulted in death
When discussing this situation with nursing staff, the manager should consider which possible causes of this reaction? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Nurse's error when checking the blood
2. WBC incompatibility
3. ABO incompatibility of the donor and recipient
4. Recipient's sensitivity to foreign plasma proteins
5. Contaminated blood
1,3
Rationale 1: Acute hemolytic reactions may be due to a mistake in labeling by the laboratory or blood bank or a nursing error.
Rationale 2: WBC incompatibility causes febrile nonhemolytic reactions.
Rationale 3: This is the physiological reason for the transfusion reaction.
Rationale 4: Recipient sensitivity to foreign plasma proteins causes allergic reactions.
Rationale 5: Contaminated blood causes infections, not transfusion reactions.
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