The nurse is administering packed red blood cells to a child with sickle-cell disease (SCD). When should the nurse monitor the child closely due to the risk of reaction?
1. Six hours after the transfusion is given.
2. At the end of the administration of the transfusion.
3. The first 20 mL of blood administered.
4. Never; children with SCD do not have reactions.
Question 2
Which parental statements regarding precipitating factors for sickle-cell disease indicate correct understanding of the discharge information presented by the nurse? Select all that apply.
1. My child should avoid regular exercise.
2. We should provide acetaminophen or ibuprofen to treat fever.
3. Our child needs to drink lots of fluid to avoid dehydration when playing sports.
4. High altitudes can cause exacerbation and should be avoided.
5. Fluid restriction is necessary to avoid exacerbations from occurring.
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