NCLEX-RN Latest Exam Braindumps
Question 25: The primary focus of nursing interventions for the child experiencing sickle cell crisis is aimedtoward:
A. Maintaining an adequate level of hydration
B. Providing pain relief
C. Preventing infection
D. O2 therapy
Correct Answer: A
Explanation:
(A) Maintaining the hydration level is the focus for nursing intervention because dehydration
enhances the sickling process. Both oral and parenteral fluids are used. (B) The pain is a result of the
sickling process. Analgesics or narcotics will be used for symptom relief, but the underlying cause of
the pain will be resolved with hydration. (C) Serious bacterial infections may result owing to splenic
dysfunction. This is true at all times, not just during the acute period of a crisis. (D) O2 therapy is used
for symptomatic relief of the hypoxia resulting from the sickling process. Hydration is the primary
intervention to alleviate the dehydration that enhances the sickling process.
