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NCLEX-RN

Category - Reduction of Risk

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A nurse is evaluating a care plan for a 28-year-old woman with sickle cell anemia, who is now 38 weeks pregnant. Which nursing diagnosis should be the nurse’s immediate priority?

Activity intolerance
Risk for infection
Pain
Deficient fluid volume

Explanation

Answer - D - In a client with sickle cell anemia, dehydration can cause sickling of the red blood cells. Sickling can block the normal flow of blood, threatening the lives of both the mother and fetus. The other diagnoses are also appropriate, but are not the nurse’s priority.

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