For which complication(s) should the nurse observe during administration of Factor VIII to a child with hemophilia?
1. Fever and chills
2. Fat emboli
3. Nausea and vomiting
4. Congestive heart failure
1
Rationale 1: Fever and chills are common symptoms of transfusion reactions, which can occur with the administration of any blood product. Factor VIII is a blood product.
Rationale 2: Although the nurse can watch for the symptoms of emboli, the nurse cannot directly observe for fat emboli formation.
Rationale 3: Nausea and vomiting are not usually associated with a transfusion reaction.
Rationale 4: Factor VIII is not a large volume, and the child is not at risk for CHF.
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