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Question 34 During initial investigation of a suspected hemolytic transfusion reaction, it is observed that Blood Bank paperwork and patient sample and blood component labels are correct, the posttransfusion reaction plasma is yellow as is the pretransfusion sample, and the direct antiglobulin test is negative. Repeat ABO typing on the posttransfusion sample confirms the pretransfusion results. What is the next step in this investigation? Incorrect answer: perform plasma hemoglobin and haptoglobin determinations due to the appearance of the plasma Correct Answer: no further serological testing is necessary because these results indicate no immune reaction occurred. Question 35 A Kleihauer-Betke test indicates 14 fetal cells per 1000 adult cells. It is the policy to add 1 vial of Rh immune globulin to the calculated dose when the estimated volume of the hemorrhage exceeds 20 mL of whole blood. For a woman with 5000 mL blood volume, the proper dose of RhIg is: Incorrect answer: two microdose vials Correct Answer: three regular dose vials

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