A nurse is planning the care of a patient with a diagnosis of sickle cell disease who has been admitted for the treatment of an acute vaso-occlusive crisis. What nursing diagnosis should the nurse prioritize in the patient's plan of care?
A) Risk for disuse syndrome related to ineffective peripheral circulation
B) Functional urinary incontinence related to urethral occlusion
C) Ineffective tissue perfusion related to thrombosis
D) Ineffective thermoregulation related to hypothalamic dysfunction
Ans: C
Feedback:
There are multiple potential complications of sickle cell disease and sickle cell crises. Central among these, however, is the risk of thrombosis and consequent lack of tissue perfusion. Sickle cell crises are not normally accompanied by impaired thermoregulation or genitourinary complications. Risk for disuse syndrome is not associated with the effects of acute vaso-occlusive crisis.
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