MRCP UK EXAMINATIONS

NEUROLOGY

SURGERY

Question [CLICK ON ANY CHOICE TO KNOW THE RIGHT ANSWER]
A patient with sickle cell disease comes to the emergency department reporting severe pain in the back, right hip, and right arm. Which action is important for the nurse to perform?
A
Administer aspirin.
B
Administer ibuprofen.
C
Start an intravenous line with dextrose 5% in 0.24 normal saline.
D
Begin oxygen at 2 L/min.
Explanation: 

Detailed explanation-1: -Vaso-occlusive crisis is treated with vigorous intravenous hydration and analgesics. Intravenous fluids should be of sufficient quantity to correct dehydration and to replace continuing loss, both insensible and due to fever. Normal saline and 5% dextrose in saline may be used.

Detailed explanation-2: -Nursing strategies for SCD include: Manage acute crises. During an acute crisis, comfort measures, use of analgesics, and complementary approaches such as massage and distraction are key. Healthcare providers focus on hydration, prevention of infections, and early recognition of complications.

There is 1 question to complete.