The primary focus of nursing interventions for the child experiencing sickle cell crisis is aimed toward:

Question

Options

• AMaintaining an adequate level of hydration
• BProviding pain relief
• CPreventing infection
• DO2 therapy

• A
  87% (27)
• B
  6% (2)
• C
  3% (1)
• D
  3% (1)

Explanation

(A) Maintaining the hydration level is the focus for nursing intervention because dehydration enhances the sickling process. Both oral and parenteral fluids are used. (B) The pain is a result of the sickling process. Analgesics or narcotics will be used for symptom relief, but the underlying cause of the pain will be resolved with hydration. (C) Serious bacterial infections may result owing to splenic dysfunction. This is true at all times, not just during the acute period of a crisis. (D) O2 therapy is used for symptomatic relief of the hypoxia resulting from the sickling process. Hydration is the primary intervention to alleviate the dehydration that enhances the sickling

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