Which assessment finding alerts the home care nurse to the possibility of infection in the client with sickle cell disease who is recovering from a crisis episode?
A. Oral temperature of 37.8o C (100o F)
B. Diminished breath sounds unilaterally
C. Firm, nodular texture to the liver on palpation
D. Darkened areas of skin on the lower extremities
B
The client with sickle cell disease is more susceptible to infections with encapsulated microor-ganisms such as Streptococcus pneumoniae. Diminished breath sounds, especially if unilateral, indicate possible pneumonia. The other manifestations are expected changes common to adult clients in sickle cell crisis.
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