The nursing history indicates that a patient with sickle cell disease (SCD) has had numerous blood transfusions in the last three months. When assessing the patient, the nurse should be alert for which condition?
A) Hypovolemia
B) Iron overload
C) Hypoxia
D) Vaso-occlusion
B) Iron overload
Explanation: A) Because multiple blood transfusions have been given, the risk of hypovolemia is low.
B) Clients with SCD may need multiple transfusions, placing them at risk for iron overload.
C) Blood transfusions should decrease, not increase, the risk of hypoxia.
D) The abnormally shaped sickle cells in SCD increase the risk of sickling and vaso-occlusion. Blood transfusions do not increase the risk because they involve giving the patient normal cells.
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