Discuss the symptoms the nurse should assess while completing a head-to-toe assessment of a client in potential sickle cell (yaso-occlusive) crisis.

1. Discuss the relationship between sickle cell anemia and a client’s ethnicity. Does Joan’s ethnicity play a role in her diagnosis? If so. How and why? (3 points)

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2. Discuss the pharmacologic management for a client with sickle cell anemia. Discuss the potential adverse effects of the medication (5 points)
3. Describe the use of transfusion therapy for the management of sickle cell anemia. Discuss the potential complications of chronic red blood cell transfusions. (5 points)
4. Bone marrow transplant (BMT) offers a potential cure for sickle cell disease. Why is BMT a treatment option available to only a small number of clients with sickle cell disease? Would Joan be a candidate for BMT? Why or why not? (3 points)
5. a) Discuss the symptoms the nurse should assess while completing a head-to-toe assessment of a client in potential sickle cell (yaso-occlusive) crisis.
6. b) What diagnostic and lab tests should be ordered for a client with sickle cell anemia and ii) state why for each (10 points)
7. Discuss how Joan’s lab results are consistent with clients who have sickle cell anemia. Discuss at least 3 of the abnormal lab values provided.
8. Identify three priority potential nursing problems appropriate for Joan and a potential cause for each (3 points)
9. Describe the nursing management goals (at least 5) during the acute phase of sickle cell crisis (10 marks – must identify goals based upon the problems that are associated with acute phase and describe it – not just list them)
10. Need
11. There are four common patterns of an acute vaso-occlusive sickle bone crisis, acute chest syndrome, abdominal crisis and joint crisis. Briefly describe the characteristics symptoms of each pattern. Which pattern is most congruent with Joan’s presenting signs and symptoms?