A 12 year old is admitted with a Sickle Cell crisis. Which of the following is the priority nursing diagnosis?
1. High risk for dehydration
2. Impaired airway
3. Inappropriate grieving
4. Pain related to tissue ischemia
4
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1. The admitting diagnosis does not indicate if the child is dehydrated, thus this is not the proper diagnosis at this time.
2. The airway is not usually compromised in a child with a Sickle Cell crisis.
3. The Sickle Cell crisis may cause the child to grieve, but this is not the priority at this time.
4. The pain from the decreased oxygen carrying capacity of the cells causes distress. Comfort measures, including medication and warm, moist heat, must be considered.
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