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?
A) Six hours after the transfusion is given.
B) At the end of the administration of the transfusion.
C) The first 20 mL of blood administered.
D) Never; children with SCD do not have reactions.

Question

Quizplus · Accepted Answer

The first 20 mL of blood administered is a critical period for monitoring any transfusion recipient for potential adverse reactions. This is when signs of a reaction are most likely to occur if the blood is incompatible or if the patient has an allergy to the blood components.

The Nurse Is Administering Packed Red Blood Cells to a Child