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the clinic nurse instructs parents of a child with sickle cell anemia about the precipitating factors related to sickle cell crisis. which, if identified by the parents as a precipitating factor, indicates the need for further instruction?
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1 stress
2 trauma
3 infection
4 fluid overload
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In sickle cell anemia, precipitating factors for a crisis include stress, trauma, and infection. Fluid overload is not a precipitating factor; rather, dehydration is a factor. So identifying fluid overload as a precipitating factor shows a need for further instruction.
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