Blood transfusion

Blood transfusion ( 30 Questions)

A nurse is caring for a patient who received a blood transfusion 10 days ago.
The patient presents with symptoms of fever, jaundice, hemoglobinuria, and a positive Coombs test.
What complication is the patient likely experiencing?


Correct Answer: A

Choice A rationale:

Delayed hemolytic reactions occur several days after a blood transfusion and are characterized by symptoms like fever, jaundice, hemoglobinuria, and a positive Coombs test.

This matches the patient's presentation described in the question.

Choice B rationale:

Transfusion-associated graft-versus-host disease (TA-GVHD) typically presents with fever, rash, diarrhea, and liver dysfunction.

It is a rare but severe complication that occurs when the donor's lymphocytes attack the recipient's tissues.

Choice C rationale:

Post-transfusion purpura is a rare condition characterized by severe thrombocytopenia (low platelet count) that occurs a week or more after a blood transfusion.

It does not match the symptoms described in the question.

Choice D rationale:

Transfusion-related immunomodulation (TRIM) is a theoretical concept and not a recognized clinical entity.

It is not associated with the specific symptoms mentioned in the question.




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