The nurse is caring for a client who has a history of a transfusion-related acute lung injury (TRALI) and is to receive a transfusion of packed red blood cells (PRBCs). Which of the following actions should the nurse take to decrease the risk for TRALIforthis client?
A)Infuse the PRBCs slowly over 4 hours.
B)Transfuse only leukocyte-reduced PRBCs.
C)Administer the scheduled oral diuretic before the transfusion.
D)Give the PRN dose of antihistamine before starting the transfusion.

Question

Quizplus · Accepted Answer

TRALI is caused by a reaction between the donor and the client leukocytes that causes pulmonary inflammation and capillary leaking. The other actions may help prevent respiratory problems caused by circulatory overload or by allergic reactions, but they will not prevent TRALI.

The Nurse Is Caring for a Client Who Has a History