The RN overbears the nurses' aide speaking in a harsh tone to a client with early Alzheimer's memory loss. Which statement should the EN make to begin addressing this issue?

A. Bradycardia, or a slow heart rate, is not a typical finding during a sickle cell crisis. In fact, during a crisis, the child may exhibit tachycardia (increased heart rate) due to pain, stress, and potential hypoxia.
B. While constipation can be a complication in children with sickle cell disease (often related to pain medications or dehydration), it is not a primary symptom of a sickle cell crisis itself. The immediate concerns in a crisis are related to pain and vaso-occlusive episodes.
C. High fever is not a direct symptom of a sickle cell crisis. Although children with sickle cell disease are at increased risk for infections, which can cause fever, a fever is not a typical finding specifically related to a sickle cell crisis. It is essential to assess for infection, especially if fever is present.
D. Pain is the hallmark symptom of a sickle cell crisis, often referred to as a vaso-occlusive crisis. The sickle-shaped red blood cells can block blood flow in small vessels, leading to severe pain in various parts of the body, such as the chest, abdomen, and joints.

A. While the attorney may argue that the injury was preventable, this statement alone does not establish negligence. It lacks specific evidence or expert testimony to support the claim. Legal arguments must be substantiated by facts, not just assertions from an attorney.
B. This option describes a key component in establishing the standard of care in negligence cases. Testimony from another nurse about the actions of a "reasonable, prudent nurse" provides a benchmark against which the accused nurse’s actions will be measured. This type of testimony is often considered credible and is vital in determining whether the nurse acted within the accepted standards of practice.
C. While a provider’s testimony may influence the case, it is not definitive in establishing negligence. A provider may not be the appropriate expert to determine nursing standards and practices. Their perspective may be biased and does not constitute the standard of care expected of a nurse.
D. Expert testimony is indeed important in negligence cases, and an expert nurse can provide valuable insight into proper nursing practices. However, this option does not fully capture the essence of establishing negligence as clearly as option B, which specifically mentions the standard of a “reasonable, prudent nurse.”