A nurse is contributing to the plan of care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions should the nurse include in the plan?

Choice A reason: Cold compresses may exacerbate vaso-occlusion in a client with sickle cell anemia and are not recommended. Choice B reason: Maintaining bed rest can help reduce the risk of hypoxemia, as it minimizes energy expenditure and oxygen demand. Choice C reason: Increasing oral fluid intake is important for preventing vaso-occlusive crises, so decreasing fluid intake is not a recommended intervention. Choice D reason: Administering meperidine for fever is not a standard intervention for sickle cell anemia. Fever during a vaso-occlusive crisis should be evaluated and treated according to the underlying cause.