A 19-year-old patient with a known history of sickle cell an…

A 19-year-old patient with a known history of sickle cell anemia arrives at the urgent care clinic, complaining of pain at a 10/10 in the lower back and both knees. They state they recently returned from a school skiing trip in the mountains.Vital signs: T 101.2°F, HR 112, RR 24, BP 130/84, SpO2 90% on room air.The nurse suspects the client is in a vasoocclusive crisis, and completes a health history to determine possible causes of the crisis. Which question is most important for the nurse to ask the patient?

The nurse gains IV access, draws blood for the ordered labs…

The nurse gains IV access, draws blood for the ordered labs and places the patient on 1 L O2 with a nasal cannula. The patient’s O2 sat increases to 94%. The nurse reviews the diagnostic results once they are available, which confirm a diagnosis of vaso-occlusive crisis. The patient is admitted to the medical floor for further treatment. The nurse is planning care for the client. Which nursing diagnosis related to vaso-occlusive crisis should the nurse prioritize in the client’s plan of care?