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Which of the following is the highest priority to a 25-year-old client admitted with sickle cell crisis?



A. Taking hourly blood pressures with mechanical cuff
B. Encouraging fluid intake of at least 200mL per hour
C. Position in high Fowler’s with knee gatch raised
D. Administering Tylenol as ordered

This question is part of NCLEX Practice Exam 19 (10 Questions)
Asked by Santepro, Last updated: May 27, 2020

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2 Answers

Samantha Stewart

Love to do some charity work. Have a passion for writing and do it in my spare time

Samantha Stewart, Philanthropist, Post Graduate, Corpus Christi

Answered Dec 17, 2018

Sickle cell disease is a common disease that can be contracted by people who are young, old or in between. This is a disorder that affects the blood. This disease is usually contracted because it has been passed down from one or both parents to their offspring. The main problem with sickle cell disorders is that the red blood cells and the hemoglobin in these cells are abnormal.

If someone comes into the hospital and a nurse is caring for this patient, the nurse needs to make sure that their patient is doing certain things in order to take care of themselves. One of the most important things they should do is to encourage the patient to increase their fluid intake to at least 200 milliliters per hour.

 

John Smith

John Smith

Answered Jul 17, 2017

Encouraging fluid intake of at least 200mL per hour

It is important to keep the client in sickle cell crisis hydrated to prevent further sickling of the blood. Answer A is incorrect because a mechanical cuff places too much pressure on the arm. Answer C is incorrect because raising the knee gatch impedes circulation. Answer D is incorrect because Tylenol is too mild an analgesic for the client in crisis.
 

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