One-year-old Susan, the second child to have sickle cell disease in a family of five children, is admitted to the hospital with sickle cell crisis. When preparing the plan of care for her, which of the following treatments would the nurse most likely expect to include in the plan
A. Intravenous fluid therapy.
B. Fast-acting anticoagulant therapy.
C. Parenteral iron therapy.
D. Exchange transfusion.
参考答案：A
解析：During a sickle cell crisis, increasing the transport and availability of oxygen to the body’s tissues is paramount. Administering a high volume of intravenous fluid and electrolytes to help compensate for the acidosis resulting from hypoxemia associated with sickle cell crisis is one way to accomplish this. Fluid administration also helps overcome dehydration, a possible predisposing factor common in clients with sickle cell crisis.
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