A nurse working with clients with sickle cell disease (SCD)teaches about self-management to prevent exacerbations and sickle cell crises.What factors should clients be taught to avoid? (Select all that apply.)

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Several factors cause red blood cells to sickle in SCD,including dehydration,extreme stress,high altitudes,and pregnancy.Strenuous exercise can also cause sickling,but not unless it is very vigorous.

A Nurse Working with Clients with Sickle Cell Disease (SCD)teaches