Question

A patient is being treated on the medical unit for a sickle cell crisis. The nurses most recent assessment

reveals an oral temperature of 100.5F and a new onset of fine crackles on lung auscultation. What is the
nurses most appropriate action?
A) Apply supplementary oxygen by nasal cannula.
B) Administer bronchodilators by nebulizer.
C) Liaise with the respiratory therapist and consider high-flow oxygen.
D) Inform the primary care provider that the patient may have an infection.

Answer 1

The nurse's most appropriate action in this situation is to apply supplementary oxygen by nasal cannula (option A).

Step-by-step explanation:

The nurse's most appropriate action in this situation is to apply supplementary oxygen by nasal cannula (option A). The patient is experiencing a sickle cell crisis, indicated by the fine crackles on lung auscultation. The presence of crackles suggests fluid in the lungs, which could be due to vaso-occlusive events or acute chest syndrome seen in patients with sickle cell disease. By applying supplementary oxygen, the nurse can help improve oxygenation and alleviate symptoms.