Practice Question
A nurse is caring for a client who presents to the emergency room in sickle cell crisis. Which of the following medications should the nurse anticipate administering?
Answer Choices:
Correct Answer:
Pain medications
Rationale:
🔷 Pain medications are the PRIORITY because sickle cell crisis causes severe vaso-occlusive pain due to blocked blood vessels.
🔷 Opioids are required to relieve ischemic pain and reduce metabolic demand.
🔷 Pain control improves oxygenation by reducing stress-induced hypoxia.
🔷 Adequate analgesia prevents worsening of the crisis and improves patient mobility.
🔷 Uncontrolled pain increases sympathetic response, worsening sickling.
Diuretics
🔷 Do not relieve vaso-occlusive pain or improve circulation.
🔷 They may worsen dehydration, which increases sickling.
Thyroid replacement medications
🔷 No relation to sickle cell pathology.
🔷 Used for hypothyroidism, not pain crises.
Laxatives
🔷 Treat constipation, not a sickle cell crisis.
🔷 Provide no benefit for vaso-occlusion.
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This question is from Class of 2026 MS2 Final which contains 78 questions.
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Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exams
- Domain: Med-Surgical
- Answer Choices: 4