what is the priority for sickle cell crisis?

THELIVINGWORST, ASN, RN · Nov 4, 2014

NCLEX doesn't care what LaCharity thinks. In NCLEX land it is ABCs alllllll the way.

rainbowl · Nov 4, 2014

Oh okay. Thank you so much. Cos I remember I encountered this before during my 1st exam for Nclex RN and I was a little confused. Thanks!

RN403, BSN, RN · Nov 4, 2014

SlinkyheadRN is correct. Also, two different questions about the same topic could be asking entirely different things. Read into what the question is really asking. One key word change could change the answer entirely.

auchiepie · Nov 5, 2014

Agreed that it depends on what the question is asking or what other information they give you in the question. In crisis, its usually initiate IV fluids, I remember studying and going nuts over this. Unless there is any indication that the patient cannot breathe or if the patient is in respiratory distress, then hydrate and initiate fluids. Hope this helps!

HilariousNurse · Nov 5, 2014

In sickle cell crisis : start IV line first bc DEHYDRATION can make the cell sickling WORST. Intakeshould be atleast 200/hr! then you give O2

seriouslyserious, LPN · Nov 5, 2014

1 student says this, another says that... a book written by nursing educators says this vs. another book written by educators says that... and, i am going to fail the NCLEX

JustBeachyNurse, LPN · Nov 5, 2014

Prioritize based on the patient. If the patient has increased respiratory rate and dyspnea then O2. If early and no resp issues then fluids first then O2. Look at the scenario just like look at the patient.

You may not even get any sickle cell crisis questions so don't assume failure

LadyFree28, BSN, LPN, RN · Nov 5, 2014

1 student says this, another says that... a book written by nursing educators says this vs. another book written by educators says that... and, i am going to fail the NCLEX

NO.

First, look at WHAT the question is asking you; a sickle cell crisis has several options, depending on WHAT the question was asking you.

What were the rationales for BOTH questions?

I am SURE that the questions were asking totally different question and rationales.

Don't get stuck on the condition; rather dissect the question in terms of what the question may be:

Is it a

1. Health Promotion;

2. Safe, Effective Care;

3. Physiological Integrity;

4. Psychosocial Integrity

Question?

For example, I got a mental health question that was a safety question.

How did I know?

I looked at what the question was asking; meaning, based on the scenario-I think it was a question about a pt having a crisis during a group milieu, and the options, I knew that the priority was safety of the other pts over engaging the pt and intervening with the pt, as the other options were listed as such.

The key is learning the four concepts of an entry level nurse, and approaching the test in that manner.

THELIVINGWORST, ASN, RN · Nov 6, 2014

NO.
First, look at WHAT the question is asking you; a sickle cell crisis has several options, depending on WHAT the question was asking you.
What were the rationales for BOTH questions?
I am SURE that the questions were asking totally different question and rationales.
Don't get stuck on the condition; rather dissect the question in terms of what the question may be:
Is it a
1. Health Promotion;
2. Safe, Effective Care;
3. Physiological Integrity;
4. Psychosocial Integrity
Question?
For example, I got a mental health question that was a safety question.
How did I know?
I looked at what the question was asking; meaning, based on the scenario-I think it was a question about a pt having a crisis during a group milieu, and the options, I knew that the priority was safety of the other pts over engaging the pt and intervening with the pt, as the other options were listed as such.
The key is learning the four concepts of an entry level nurse, and approaching the test in that manner.

YASSS