A young adult is admitted to the hospital experiencing respiratory distress. After assessment, the nurse concludes that the client is in sickle cell crisis. The nurse plans care for the relief of pain because:
1. The red blood cells are numerous.
2. There is painful swelling of the lymph nodes.
3. The sickled cells accumulate in tissue.
4. There is an absence of white blood cells.
Answer: 3
1. In a sickle cell crisis, the red blood cells are shaped like an s. Red cells are not increased but altered.
2. The lymph nodes are not swollen or painful.
3. The sickled cells accumulate and block the capillaries, causing tissue ischemia and intense pain.
4. White cells are not decreased.
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