A nurse is caring for a 12-year-old client who has sickle cell disease. Exhibits Complete the following sentence by using the lists of options. The nurse should anticipate a provider prescription for dropdowndue to the child'sdropdown.

Rationale for correct choices: • IV hydromorphone: The child is in a vaso-occlusive crisis, where severe pain is the hallmark finding. IV opioids such as hydromorphone are the treatment of choice for rapid pain relief when pain reaches severe levels unrelieved by oral medications. • Pain: The child reports escalating pain from 7/10 to 10/10 localized in the right knee with swelling and warmth, consistent with vaso-occlusion. Pain control is the immediate priority because inadequate management can worsen stress and sickling. Rationale for incorrect choices: • Fresh frozen plasma transfusion: This is not indicated in sickle cell crisis, as there is no coagulopathy or clotting factor deficiency. Plasma transfusion does not treat anemia or vaso-occlusive pain. • Factor VIII: This therapy is specific to hemophilia A, which involves a clotting factor deficiency. It has no role in the management of sickle cell disease or vaso-occlusive crisis. • Platelets: The child’s platelet count is elevated at 450,000/mm³, which reflects a reactive process but not a deficiency. Thrombocytopenia is not present, so platelet replacement is unnecessary.