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A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client? -- A. Taking hourly blood pressures with mechanical cuff -- B. Encouraging fluid intake of at least 200mL per hour -- C. Position in high Fowler’s with knee gatch raised -- D. Administering Tylenol as ordered
What is B - Encouraging fluid intake.
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It is important to keep the client in sickle cell crisis hydrated to prevent further sickling of the blood. Answer A is incorrect because a mechanical cuff places too much pressure on the arm. Answer C is incorrect because raising the knee gatch impedes circulation. Answer D is incorrect because Tylenol is too mild an analgesic for the client in crisis.