Final answer:
The nurse should start with a pain assessment using a standardized scale to determine the adequacy of pain management for a child in sickle cell crisis, which could lead to using opioids or NSAIDs if necessary.
Step-by-step explanation:
To provide adequate pain management for a child who has been admitted for a sickle cell crisis, the nurse should initially initiate pain assessment with a standardized pain scale. This approach will allow for quantifiable and consistent measurement of the child's pain level. It is essential for tailoring the pain management plan specifically to the child's needs. Pain assessment scales such as the Wong-Baker Faces Scale have been proven effective for children undergoing painful procedures. After a thorough pain assessment, the healthcare provider may decide if stronger pain relief, such as opioids, is necessary. These medications should be used with caution due to the potential for serious side effects and the risk of addiction. Nonsteroidal anti-inflammatory drugs (NSAIDs) may also be used, particularly if the pain is of a low-to-moderate intensity and associated with inflammation.