(Select All That Apply).
A nurse is collaborating with a healthcare team to develop an individualized care plan for a patient with sickle cell disease.
Which interventions are appropriate for the nurse to include in the plan to manage the patient's condition? .

Choice B rationale:

Renal Failure Renal failure is not the most likely complication in this case.

The client's sharp chest pain, aggravated by deep breaths, is more consistent with the symptoms of Acute Chest Syndrome.

This syndrome is a common complication of sickle cell disease and is characterized by chest pain, fever, cough, and shortness of breath.

While kidney complications can occur in sickle cell disease, they are not the primary concern based on the client's presentation.

Choice C rationale:

Acute Chest Syndrome is a more pressing concern due to its potential to lead to severe respiratory distress.

Choice D rationale:

Functional Asplenia Functional asplenia may contribute to the risk of infections in individuals with sickle cell disease, but it is not the primary cause of the client's current symptoms.

The client's chest pain and difficulty breathing are more indicative of Acute Chest Syndrome, a serious and potentially life-threatening complication of sickle cell disease.

Choice D rationale:

Evaluation of psychosocial well-being and coping mechanisms Monitoring psychosocial well-being and coping mechanisms is essential for holistic care but may not directly relate to monitoring signs and symptoms of sickle cell disease.

The primary focus should be on physical assessments and symptoms related to the disease itself.

Now, let's provide rationales for The correct answers:

Choice A rationale:

Assessment of vital signs, including temperature, heart rate, blood pressure, and respiratory rate Monitoring vital signs is crucial for assessing a patient's overall health and detecting any signs of deterioration.

Patients with sickle cell disease can experience vaso-occlusive crises, which may result in changes in vital signs, such as an elevated heart rate and respiratory rate.

Elevated temperature may indicate an infection, which is another concern in sickle cell disease.

Choice B rationale:

Evaluation of pain intensity and location Sickle cell disease is associated with recurrent painful vaso-occlusive crises, where sickled red blood cells block blood vessels, leading to pain.

Assessing the intensity and location of pain is essential to determine the severity of the crisis and to provide appropriate pain management.

Choice C rationale:

Assessment of neurologic status, including cognitive function and sensory perception Sickle cell disease can lead to complications such as strokes, which may result in neurological deficits.

Monitoring cognitive function and sensory perception is crucial to detect any neurological complications early and provide timely interventions.

Choice E rationale:

Monitoring for signs and symptoms of anemia, such as fatigue, pallor, and shortness of breath Anemia is a common complication in sickle cell disease, and monitoring for signs and symptoms of anemia is vital.

Fatigue, pallor, and shortness of breath are typical manifestations of anemia, and early detection allows for appropriate management and intervention.

These assessments help in ensuring the comprehensive care of patients with sickle cell disease, addressing both acute and chronic complications.