Parents of Children with Sickle Cell Anemia Need to Know

Parents of children with sickle cell anemia need to know the risks of various activities. The nurse will teach the parents of a child with sickle cell anemia that on rare occasions children who have the sickle cell trait can have vaso-occlusive episodes and severe crisis caused by which of the following activities?

A) being in very hot water (e.g., in a bathtub or a hot tub) that is 40.5 degrees C (105 degrees F) or higher
B) failure to take rest periods morning and afternoon and to get 9 hours sleep daily
C) flying at high altitudes in depressurized aircraft, exercising at high altitudes, or using anesthesia
D) doubling up on medication either on purpose or by accident, then forgetting that the medicine was already been taken