A child with sickle cell anemia has ineffective tissue perfusion related to generalized infarcts. Which of the following interventions should the nurse prioritized in her plan of care?


•The patient is having a vaso-occlusive crisis. The nurse should imediately take action to increase perfusion and oxygenation to the affected extremities. Administering oxygen, I.V. fluids, and blood products are the nurses top priority.

•A vaso-occlusive crisis is caused by sickle-shaped red blood cells that occlude capillaries and prevent blood flow, causing ischemia.

•Pain medications are important to relieve the intense pain associated with a vaso-occlusive crisis, however, this is not as important as perfusion and oxygenation.

•The patient should be positioned with the extremities extended to promote venous return. Bed rest is important to minimize oxygen demands of the body.

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