A nurse is caring for an adolescent who is admitted with a vaso-occlusive. Exhibits The nurse is planning care for the adolescent.Select the 5 interventions the nurse should include.
Explanation & Rationale
A. Cold compresses can worsen pain and vasoconstriction, which is counterproductive in a vaso- occlusive crisis. Warm compresses are typically recommended. B. Reducing physical activity helps to decrease oxygen demand and minimize pain during a vaso- occlusive crisis. C. Hydroxyurea is a medication used to prevent vaso-occlusive crises, but it is not a treatment for an acute crisis. D. Patients with sickle cell disease are at increased risk for infections, and the pneumococcal vaccine is crucial for prevention. E. Folic acid supplementation is recommended for individuals with sickle cell disease to help prevent anemia. F. Meperidine is no longer recommended for pain management due to its potential for toxic metabolites. Other pain medications, such as opioids like morphine or hydromorphone, would be more appropriate. G. Close monitoring of oxygen saturation is essential to detect early signs of respiratory compromise. H. Nausea and vomiting are common during a vaso-occlusive crisis, and restricting oral intake can help prevent dehydration and electrolyte imbalances.