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

Choice A rationale

Thanking the nurse for information does not provide an actionable or measurable response to the safety plan. It signifies acknowledgment but does not demonstrate engagement or utilization of the resources provided. Effective evaluation involves observable actions that reflect the client's commitment to safety measures, such as storing or sharing resources.

Choice B rationale

Storing the crisis center number in their phone indicates the client values the provided resource and anticipates using it if necessary. It shows a proactive step in engaging with the safety plan and retaining information for future use. This measurable action demonstrates their awareness of the importance of having immediate access to help during emergencies.

Choice C rationale

The belief that their home will become safer due to the presence of a baby reflects denial or false optimism. It fails to address the inherent risks of intimate partner violence, which often escalate during stressful situations. A rational evaluation involves recognizing danger and taking steps to access resources for safety.

Choice D rationale

Choosing not to leave their home indicates resistance or inability to engage with the safety plan effectively. It reflects a lack of readiness to act on safety measures, making this response inappropriate as a measure of evaluating the safety plan. Behavioral change is necessary to ensure the client's well-being.

B. Slight yellow vaginal discharge is correct.This is a classic symptom of gonorrhea in females. Gonorrhea often causes mucopurulent cervicitis, leading to a mild yellow vaginal discharge. It’s one of the most common signs, especially in sexually active adolescents.

Incorrect options:

• A. Low-grade fever for three days:
  Not a typical early symptom of gonorrhea. Fever may occur in severe or disseminated gonococcal infections, but it's uncommon as an initial presentation.

• C. Frothy, white vaginal discharge:
  This is more characteristic of trichomoniasis, another STI, caused by Trichomonas vaginalis. The discharge is typically frothy, greenish-yellow, and accompanied by a foul odor.

• D. Decrease in urinary frequency:
  Not associated with gonorrhea. Gonorrhea can cause increased urinary frequency and urgency if the urethra is involved, but a decrease is not typical.