Author Question: A client in sickle cell crisis is dehydrated and in the emergency department. The nurse plans to ... (Read 55 times)

roselinechinyere27m · **on:** Jun 25, 2018

A client in sickle cell crisis is dehydrated and in the emergency department. The nurse plans to start an IV. Which fluid choice is best?

a. 0.45 normal saline
b. 0.9 normal saline
c. Dextrose 50 (D50)
d. Lactated Ringer's solution

Question 2

A client receiving a blood transfusion develops anxiety and low back pain. After stopping the transfusion, what action by the nurse is most important?

a. Documenting the events in the client's medical record
b. Double-checking the client and blood product identification
c. Placing the client on strict bedrest until the pain subsides
d. Reviewing the client's medical record for known allergies

amynguyen1221 · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

ANS: A
Because clients in sickle cell crisis are often dehydrated, the fluid of choice is a hypotonic solution such as 0.45 normal saline. 0.9 normal saline and lactated Ringer's solution are isotonic. D50 is hypertonic and not used for hydration.

Answer to Question 2

ANS: B
This client had a hemolytic transfusion reaction, most commonly caused by blood type or Rh incompatibility. The nurse should double-check all identifying information for both the client and blood type. Documentation occurs after the client is stable. Bedrest may or may not be needed. Allergies to medications or environmental items is not related.