An emergency department nurse is caring for a child in a sickle cell crisis. The nurse suspects the etiology of the crisis as being thrombotic in nature due to which clinical manifestations?
Select all that apply.
A) The client has profound pallor and fatigue.
B) The client is in extreme pain.
C) The client has profound hypotension and shock.
D) The client has a fever.
E) The client's chest CT reveals a pulmonary infarct.
Answer: B, D
A thrombotic sickle cell crisis is manifested by extreme pain and fever. The client in profound hypotension and shock likely has splenic sequestration as the etiology, not thrombosis. The client with a pulmonary infarct likely has Acute Chest Syndrome, not thrombosis. The client with profound pallor and fatigue likely is in an aplastic crisis, not thrombosis.
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