The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the healthcare provider immediately?

Choice D rationale In a child with sickle cell disease experiencing a sickle cell crisis, chest pain is a serious symptom that should be reported to the healthcare provider immediately. Chest pain could indicate a life-threatening complication known as acute chest syndrome, which is a leading cause of death in people with sickle cell disease. Choice A rationale Jaundice is a common symptom in sickle cell disease due to the rapid breakdown of red blood cells, leading to an increase in bilirubin levels. While it should be monitored, it is not typically a symptom that requires immediate medical attention. Choice B rationale Swelling in the hands or feet, also known as dactylitis, is a common early symptom of sickle cell disease in children. It is caused by the sickle-shaped red blood cells blocking blood flow to the hands and feet. Choice C rationale Leg ulcers are a common complication of sickle cell disease, particularly in adults. They occur less frequently in children and are usually a sign of disease severity.