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A 13-year-old adolescent with a confirmed diagnosis of sickle cell anemia has been admitted to the pediatric inpatient setting and is experiencing a vaso-occlusive crisis. The patient is complaining of pain in legs, belly, and arms and states that her vision is blurry, she is dizzy, and is having difficulty breathing. Two direct care providers are at the patient’s bedside to address the patient’s physical, and psychosocial care needs based on maintaining physiological safety, followed by psychosocial care needs.

1.For a patient with SCD, what are the important questions to ask regarding past medical history and why?

2.When completing a pain assessment for a patient with SCD, what assessments are important to perform and why?

3.When completing a neurological assessment for a patient with SCD, what assessments are important to perform and why?

4.What are the important components of a respiratory assessment for a patient with SCD and why?

5.Why do some clients with SCD experience cerebral vascular attacks (CVAs) and/or transient ischemic attacks (TIAs)? If this is in the patient’s history, what are the significant clinical care actions to take?

6.What are the critical nursing interventions for a patient with SCD? Prioritize these interventions.

7.Why is morphine sulfate administered to a patient with SCD?

8.Why is Tylenol administered?

9.What is the importance of intravenous (IV) fluid therapy for a patient with SCD

SCIENCE
HEALTH SCIENCE
NURSING
NURS A222

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