Difficulty: Medium
Average Score: 73%
Simulated
Passage / Scenario
Adolescent experiencing a vaso-occlusive crisis with painful joints, fever, and abdominal painA nurse is developing a plan of care for an adolescent who is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?
Correct answer
C
Rationale
The correct answer is C: Initiate IV fluids. During a vaso-occlusive crisis in sickle cell disease, there is a risk of dehydration due to increased red blood cell destruction and decreased blood flow to tissues. IV fluids help to maintain hydration, improve blood flow, and prevent complications. Administering antispasmodics (choice A) is not typically indicated for vaso-occlusive crisis. Applying ice to joints (choice B) may provide temporary relief but does not address the underlying issue of dehydration. Assessing for hyperkalemia (choice D) is important but not the priority intervention in this case.