Question

A client has been admitted with sickle cell anemia in crisis. Which physician prescription would the nurse anticipate? A. Restrict fluids \(200 \mathrm{~mL} / \mathrm{shift}\) B. Ice to painful joints C. Start \(\mathrm{O}_2\) at \(3 \mathrm{~L} / \mathrm{min}\) D. Ambulate in hall every two hours

Short answer

Answer: Start O2 at 3 L/min

Step-by-step solution

Option A: Restrict fluids 200 mL/shift

Restricting fluids in patients with sickle cell anemia in crisis is usually not a recommended action, as it can lead to dehydration, which may worsen the crisis and increase the risk of vaso-occlusive events. Adequate hydration is crucial for such patients.

Option B: Ice to painful joints

Applying ice to painful joints may provide temporary relief in certain situations, but in the case of sickle cell anemia in crisis, cold temperatures can actually trigger vasoconstriction, further aggravating the crisis and increasing pain.

Option C: Start O2 at 3 L/min

Oxygen therapy is often administered to patients in sickle cell crisis to help increase oxygen levels in the blood and reduce the frequency of sickling. Starting O2 at 3 L/min may be an appropriate intervention, depending on the patient's oxygen saturation and clinical condition.

Option D: Ambulate in hall every two hours

Mobilizing a patient with sickle cell anemia in crisis is not always a recommended action, as physical activity may exacerbate pain and induce more sickling. It is crucial to individualize the patient's care plan according to their current condition and symptoms. After analyzing each option and eliminating the inappropriate interventions (options A, B, and D), we can conclude that:

Correct Answer: Option C

The physician prescription the nurse should anticipate for a client with sickle cell anemia in crisis is to start oxygen therapy at 3 L/min, as it helps improve oxygen levels in the blood and reduces the risk of sickling.