A nurse is assessing a child who is in sickle cell crisis.
Which of the following findings should the nurse expect?

Choice A rationale

Restricting play activity limits physical and emotional well-being in children. While strenuous activity is discouraged during recovery, moderate activity promotes overall health and blood flow. Over-restriction is unwarranted without clinical indications. Balance in physical activity should be emphasized in sickle cell management.

Choice B rationale

Cold compresses induce vasoconstriction, which may precipitate a sickle cell crisis by reducing oxygen delivery to tissues. Warm compresses are preferred to improve blood flow and alleviate pain in these patients. Temperature management is critical in preventing vaso-occlusive complications.

Choice C rationale

Adequate hydration reduces blood viscosity, preventing sickling episodes in children with sickle cell anemia. Consistent fluid intake is a cornerstone of management, mitigating crisis frequency. Parents should encourage routine hydration to maintain hemodynamic stability in affected children.

Choice D rationale

Daily temperature monitoring is important but not sufficient standalone advice. Fever in sickle cell anemia may indicate infection or crisis, requiring prompt medical evaluation. However, comprehensive management includes hydration, pain control, and activity regulation alongside temperature monitoring. .

Choice A rationale

Interviewing the client privately ensures confidentiality and allows for honest disclosure of the situation without fear of intimidation or manipulation by accompanying individuals. This approach is critical in identifying domestic abuse victims and initiating proper interventions.

Choice B rationale

A calm, caring, and professional demeanor fosters trust and reduces the client’s anxiety or fear. It ensures the nurse-patient relationship is non-threatening, encouraging the teen to open up about her experiences and facilitating accurate assessment and care.

Choice C rationale

Assessing whether the teen feels safe helps identify her immediate risks and the presence of a potential threat. Recognizing unsafe living conditions enables the nurse to involve appropriate protective and social services to ensure the client’s safety.

Choice D rationale

Contacting the police should be done only with the client’s consent unless mandated by law. Immediate police involvement without consent may jeopardize the client’s trust in the healthcare system and compromise her willingness to seek help in the future.