A 28-year-old African American with a history of sickle cell anemia is admitted

Question

A 28-year-old African American with a history of sickle cell anemia is admitted with a sickle cell crisis. He is in extreme pain. During the admission assessment, a nurse documents the patient has not had a bowel movement for 3 days and has been having difficulty voiding. The nurse auscultated and documented occasional bowel sounds in the upper quadrants. The nurse attempts to palpate the abdomen to assess for a fecal mass or distended bladder, but the patient complains of severe pain. Should the nurse palpate the abdomen more gently to complete the abdominal assessment? Why or why not?

Explanation / Answer

Sickle cell anemia:Normal blood vessels move easily through the blood vessels taking oxygen to every part of the body. people who have sickle cell anaemia disease have mostly sicked red blood cells.sicked cells are stiff and sticky.they tend to block blood flow in the blood vessels of the limbs and organs .blocked blood flow can cause pain,serious infections,and organ damage.it contain abnormal haemoglobin called sickle cell haemoglobin.

the nurse palpate the abdomen more gently to complete the abdominal assessment because palpation is the examination of the abdomen for crepitus of the abdominal wall, for any abdominal tenderness, or for abdominal masses. but it is When performing an abdominal assessment, the nurse should proceed from inspection to auscultation, since performing palpation or percussion prior to auscultation may disturb normal peristalsis and confound the assessment.

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