To achieve the treatment goal of increased tissue perfusion in a client who has sickle-cell disease, which of these nursing interventions is appropriate?
a. Teach the client to take apical and radial pulses.
b. Elevate head of bed and administer oxygen as needed.
c. Monitor for symptoms of electrolyte imbal-ance.
d. Restrict fluid intake.
B
Medical management is supportive and includes increased oral fluids and medications such as folic acid and antibiotics to treat any infections; during crisis, pain medications and intravenous fluids are administered and if necessary, the patient receives a blood transfusion. Nursing care of clients who have any type of anemia centers on obtaining complete assessment data (e.g., family history, environmental situations frequently encountered, symptoms, and cardiovascular data), improving the client's tissue perfusion and activity tolerance, and providing information about the specific type of anemia and the prescribed treatment regimen.
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