The nurse is caring for a child in the emergency department (ED). Exhibits For each potential provider's order, click to specify if the potential order is expected or unexpected for the client.

Cold compresses to painful areas: Expected Nonpharmacologic method to help reduce pain and inflammation during vaso-occlusive crisis. Bed rest: Expected Conserves oxygen and prevents further sickling. Blood type and cross match: Expected Anticipated if anemia is severe or if transfusion is needed (Hemoglobin 7.6 g/dL). NPO status: Unexpected No GI procedures planned; child should stay hydrated to prevent sickling. Morphine IV: Expected Opioids are often necessary for severe sickle cell pain management.