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Author2 Posts
  #1

A patient is receiving a blood transfusion after a reoperative laparotomy for small bowel obstruction. The nurse notes that the blood has clotted in the tubing. Which of the following is the most likely cause?

A. ABO incompatibility
B. Minor blood group incompatibility
C. Rh incompatibility
D. Transfusion through Ringer's lactate
E. Transfusion through 5% dextrose and water

  #2

D. , because the blood has clotted in the tubing." the calcium in Ringer's lactate solution could overwhelm the chelating capacities of the citrate in stored blood, resulting in clot formation"(American Family Practice)







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