Sickle Cell Disease

A nurse is providing discharge teaching to a client who had a sickle cell crisis. Which of the following statements indicates that the client understands the instructions?

"Physical activity is good for me, but I need to avoid overexertion."

The client is hospitalized with a diagnosis of sickle cell crisis. Which findings should prompt the nurse to consider that the client is ready for discharge. Select all that apply.

- Leukocyte count is 7500. - Describes the importance of keeping warm. - Pain controlled at a 2 from 0-10 with analgesics. - Has not had chest pain of dyspnea for the past 24 hours.

The nurse is caring for two clients who both are in pain due to sickle cell anemia. One of the clients rates the pain as a 7 out of 10 (0 is no pain and 10 is the worst pain possible). This client is moving around easily and is eating well but has asked for pain medication. Which action by the nurse is most appropriate?

Administer the pain medication if it has been longer than the ordered interval

A nurse is admitting a client who is in sickle cell crisis. Besides pain management, which of the following interventions should the nurse include in the client's plan of care?

Ample hydration

Which instruction will the nurse plan to include in discharge teaching for the patient admitted with a sickle cell crisis?

Avoid exposure to crowds when possible.

The male client with sickle cell anemia comes to the emergency department with a temperature of 101.4°F and tells the nurse that he is having a sickle cell crisis. Which diagnostic test should the nurse anticipate the emergency department doctor ordering for the client?

Blood cultures

A nurse is planning care for a client during a sickle cell crisis. Which of the following interventions should the nurse include in the client's plan of care?

Encourage increased fluid intake

A client is being treated on the medical unit for a sickle cell crisis. The nurse's most recent assessment reveals an oral temperature of 100.5°F and a new onset of fine crackles on lung auscultation. What is the nurse's most appropriate action?

Inform the primary care provider that the patient may have an infection.

A nurse is reviewing laboratory values for an adult client who has sickle cell anemia and a history of receiving blood transfusions. For which of the following complications should the nurse monitor?

Iron toxicity

The HCP writes the following orders for the client admitted in sickle cell crisis: "O2 2L/NC, MS 4mg IV now, one-unit PRBCs, and hydroxyurea 250 mg oral daily." Which nursing intervention is most important?

It is most important to call HCP. The abbreviation MS is on the "Do not use" list.

A nurse is assessing a child who is in a sickle cell crisis. Which of the following findings should the nurse expect?

Pain

A nurse is caring for a client who was just admitted from the emergency department (ED). Client is experiencing a sickle cell crisis. Client states that they began experiencing pain in the lower extremities 3 days ago and is now experiencing pain in the chest, rating it as 4 on scale of 0 to 10. Drag words from the choices below to fill in each blank in the following sentence.

Pneumonia Acute chest syndrome

Which statement by a patient indicates good understanding of the nurse's teaching about prevention of sickle cell crisis?

Risk for a crisis is decreased by having an annual influenza vaccination."

It is important for the nurse providing care for a patient with sickle cell crisis to

evaluate the effectiveness of opioid analgesics.