The nurse is collecting data on a newly admitted client in sickle cell crisis. The client tells the nurse about a recent skiing trip and subsequent respiratory infection from the cold
Which of the following nursing diagnoses does the nurse feel is appropriate for this client? 1. Fluid Volume Excess
2. Knowledge Deficit
3. Readiness for Enhanced Immunization Status
4. Risk for Self-Mutilation
2. Knowledge Deficit
Rationale: The client has reportedly been skiing, which would be in an area of high altitude, which is contraindicated for someone with sickle cell. This client appears to have a knowledge deficit about self-care. There is no evidence from the information given that the client has fluid volume excess, a need for enhanced immunization status, or a risk for self-mutilation.
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