Certified Pediatric Hematology Oncology Nurse (CPHON) Practice Exam

The primary focus of acute nursing goals for a patient in a sickle cell disease (SCD) crisis is comprehensive assessment, which includes evaluating the patient's condition and reviewing laboratory results. This thorough assessment is critical because patients in crisis often present with varying symptoms, including severe pain, fever, and other complications related to vaso-occlusive episodes. Understanding the patient's clinical status through assessment allows the healthcare team to identify the severity of the crisis, any underlying complications, and the appropriate interventions needed. Reviewing laboratory data, such as complete blood count, reticulocyte count, and any signs of infection, helps in determining the best course of action for treatment. Pain management and hydration, while essential components of care, stem from an accurate assessment of the patient's needs. Therefore, focusing on assessment ensures that all aspects of the patient's health are considered, leading to a more effective and tailored management plan.