The nurse is administering packed red blood cells to a child with sickle cell disease. The nurse knows that a transfusion reaction will most likely occur:
1. Six hours after the transfusion is given.
2. Within the first 20 minutes of administration of the transfusion.
3. At the end of the administration of the transfusion.
4. Never; children with sickle cell disease do not have reactions.
2. Within the first 20 minutes of administration of the transfusion.
Rationale:
Blood reactions can occur as soon as the blood transfusion begins or within the first 20 minutes. The nurse should remain with the child the first 20 minutes of the transfusion. Transfusion reaction does not occur as long as 6 hours after the transfusion. Reactions generally occur at the onset or during the first 20 minutes of transfusion. Anyone, including children, can have a transfusion reaction during any transfusion.
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