The nurse is administering packed red blood cells to a child with sickle-cell disease (SCD). When should the nurse monitor the child closely due to the risk of reaction?
1. Six hours after the transfusion is given.
2. At the end of the administration of the transfusion.
3. The first 20 mL of blood administered.
4. Never; children with SCD do not have reactions.
3
Explanation:
1. Transfusion reaction does not occur this long after the transfusion.
2. Reactions generally occur at the onset or during the first 20 minutes of transfusion.
3. Blood reactions can occur as soon as the blood transfusion begins. The nurse should administer the first 20 mL of blood slowly and monitor for a reaction during this time frame.
4. Anyone can have a transfusion reaction during any transfusion.
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