A nurse is assessing an adolescent who experienced blunt trauma to the abdomen. Which of the following findings is the nurse's priority?

To calculate the daily fluid requirements for a child, you typically use the Holliday-Segar method, which provides guidelines based on the child's weight:

1. For the first 10 kg of body weight, you give 100 ml per kg.
2. For the second 10 kg of body weight, you give 50 ml per kg.
3. For any weight above 20 kg, you give 20 ml per kg.

First, convert the child's weight from pounds to kilograms. To do this, divide the weight in pounds by 2.2.

For a child weighing 33 pounds:

• The weight in kilograms is approximately 15 kg (33 divided by 2.2).

Now, calculate the fluid requirement:

• For the first 10 kg of the child's weight, you need 1000 ml (10 kg multiplied by 100 ml).
• For the remaining 5 kg, you need 250 ml (5 kg multiplied by 50 ml).

Adding these together, the total daily fluid requirement is 1250 ml.

So, the daily fluid requirement for a child weighing 33 pounds is 1250 ml.

During a sickle cell crisis, the child experiences severe pain due to the sickled red blood cells blocking blood flow in the vessels, leading to tissue ischemia and infarction. Pain is the hallmark symptom of sickle cell crisis and can occur in various parts of the body, such as the abdomen, chest, back, joints, and extremities.

A. Constipation is not a common symptom of sickle cell crisis. It may be associated with other conditions but is not directly related to sickle cell crisis.
C. High fever is not a typical finding in sickle cell crisis. Fever may occur due to infections, which individuals with sickle cell disease are at increased risk of developing, but it is not a direct symptom of the crisis itself.
D. Bradycardia (slow heart rate) is not commonly associated with sickle cell crisis. Tachycardia (rapid heart rate) may occur in response to pain, but bradycardia is not a typical finding.