What should the nurse do if a client receiving a transfusion has an incompatible blood type, but is AB positive?

In the scenario where a client with blood type AB positive is receiving an incompatible blood transfusion, the appropriate response would focus on monitoring for adverse reactions. Although the nurse should ideally take immediate actions to stop the transfusion and address the incompatibility, the correct choice reflects an awareness of the importance of vigilance in such situations.

When a transfusion is incompatible, the risk of hemolytic reactions increases, which can occur quickly and lead to serious complications. Monitoring the client closely would involve observing for signs of potential transfusion reactions such as fever, chills, back pain, or changes in vital signs. This proactive approach allows for prompt recognition and intervention should any adverse effects arise.

The emphasis on monitoring is foundational in nursing practice, reinforcing the need to prioritize patient safety while being aware that all transfusions should ideally be stopped if incompatibility is suspected. Immediate stopping the transfusion is a critical action, but ongoing vigilance is essential to ensure that the client receives the necessary care and can be stabilized if any reactions occur.