The nurse is administering packed red blood cells to a child with sickle-cell disease (SCD). The nurse knows that a transfusion reaction will most likely occur:
1. Six hours after the transfusion is given.
2. At the end of the administration of the transfusion.
3. Within the first 20 minutes of administration of the transfusion.
4. Never; children with SCD do not have reactions.
3
Rationale 1: Transfusion reaction does not occur this long after the transfusion.
Rationale 2: Reactions generally occur at the onset or during the first 20 minutes of transfusion.
Rationale 3: Blood reactions can occur as soon as the blood transfusion begins or within the first 20 minutes. The nurse should remain with the child during the first 20 minutes of the transfusion.
Rationale 4: Anyone can have a transfusion reaction during any transfusion.
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