The nurse is teaching parents how to prevent a sickle cell crisis in the child with sickle cell disease. Which precipitating factors to a sickle cell crisis will the nurse include in the explanation?
1. Fever
2. Dehydration
3. Regular exercise
4. Altitude
5. Increased fluid intake
Correct Answer: 1,2,4
Rationale: Fever, dehydration, and altitude are precipitating factors contributing to a sickle cell crisis. Regular exercise and increased fluid intake are recommended activities for a child with sickle cell disease and will not contribute to a sickle cell crisis.
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