The nurse is teaching parents how to prevent a sickle-cell crisis in the child with sickle-cell disease. Which of the following are precipitating factors that could contribute to a sickle-cell crisis? (Select all that apply.)

1. Fever
2. Dehydration
3. Regular exercise
4. Altitude
5. Increased fluid intake


1. Fever
2. Dehydration
4. Altitude

Rationale:
Fever, dehydration, and altitude are all 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.

Nursing

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