Which complication(s) should the nurse observe for during administration of Factor VIII to a child with hemophilia?

1. Congestive heart failure
2. Fever and chills
3. Nausea and vomiting
4. Fat emboli


2
Rationale:
1. Factor VIII is not a large volume, and the child is not at risk for CHF.
2. Fever and chills are common symptoms of transfusion reactions, which can occur with the administration of any blood product. Factor VIII is a blood product.
3. Nausea and vomiting are not usually associated with a transfusion reaction.
4. Although the nurse can watch for the symptoms of emboli, the nurse cannot directly observe for fat emboli formation.

Nursing

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