The parents of an 8-year-old child with sickle cell anemia call the clinic to report that the child developed chest pain after playing soccer. What advice from the nurse is most appropriate?
A.
"Go to the nearest emergency department."
B.
"Have him rest and take Tylenol (acetaminophen)."
C.
"If he doesn't improve, bring him in to the clinic."
D.
"Try a warm pack on his chest for 10 minutes."
ANS: A
In sickle cell disease, the abnormally shaped RBCs are sticky and adhere to the blood vessel walls, creating obstructions to circulation. This creates the potential for tissue ischemia and death. The child could be having a heart attack and needs immediate evaluation.
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