PANCE Exam Practice Questions: Quiz 207

A 15-year-old male with a history of sickle cell anemia presents with increasing lethargy and generalized pain. Vitals: T 98.2; P 98; R 20; BP 116/74. His lips are slightly dry; he has mildly decreased turgor and 3-second capillary refill. No murmurs, abnormal lung sounds, or abdominal pain are noted on physical exam. Reticulocyte count is increased by twofold; hematocrit and hemoglobin are slightly below his baseline. What is the next best step in management?
- A. blood transfusion
- B. hydration and analgesics
- C. hydroxyurea
- D. IV broad-spectrum antibiotics

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