A 10-year-old with sickle cell disease reports frequent joint pain. Which nursing intervention is most appropriate?

Provide scheduled analgesics and encourage nonpharmacologic strategies

Administer medication only when the child requests it

Limit physical activity to prevent pain episodes

Encourage the child to ignore the pain

Answer and Explanation

The Correct Answer is A

A. Provide scheduled analgesics and encourage nonpharmacologic strategies is correct. Children with sickle cell disease often experience recurrent pain episodes due to vaso-occlusion. Managing pain effectively involves scheduled analgesics, such as acetaminophen or opioids for severe pain, to maintain consistent relief, along with nonpharmacologic strategies like heat application, relaxation techniques, and distraction. This approach prevents pain escalation and improves quality of life.

B. Administer medication only when the child requests it is incorrect because children with chronic pain may underreport pain or wait until it is severe. Scheduled dosing ensures consistent pain control and prevents unnecessary suffering.

C. Limit physical activity to prevent pain episodes is incorrect because while extreme exertion can trigger a pain crisis, normal activity should be encouraged as tolerated to maintain mobility, muscle strength, and overall health. Over-restriction can negatively affect development and psychosocial well-being.

D. Encourage the child to ignore the pain is incorrect because ignoring pain can lead to delayed treatment, increased suffering, and potential complications such as prolonged vaso-occlusive crises. Pain should be acknowledged and managed appropriately.

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Correct Answer is D

Explanation

A. Psychosocial environment is incorrect because while a stimulating and supportive environment can influence growth indirectly, the primary concern for minimal weight gain and fatigue in an infant is related to intake and nutritional status rather than parental interaction or emotional factors alone.

B. Genetics is incorrect because both parents are of average height, suggesting that hereditary factors are unlikely to explain poor weight gain in this infant. Genetic potential affects height and weight trends but would not typically cause sudden minimal weight gain and fatigue.

C. Daycare setting is incorrect because while meal patterns and activity level at daycare could influence intake, the report of decreased appetite and fatigue suggests a direct nutritional or health issue rather than environmental influence alone.

D. Nutrition is correct because insufficient caloric or nutrient intake is the most likely cause of poor weight gain, low energy, and fatigue in a 9-month-old. At this age, infants rely on adequate nutrition from breast milk, formula, or complementary foods to support rapid growth and development.

A. Teaching the family about long-term management of asthma B. Avoiding using any latex product C. Administering medication for long-term desensitization D. Using only nonallergenic latex products

Correct Answer is B

Explanation

A. Teaching the family about long-term management of asthma is incorrect because asthma management is not directly related to latex allergy, although children with latex allergy may have an increased risk of atopy. The focus should be on latex avoidance.

B. Avoiding using any latex product is correct. Children with spina bifida are at high risk for latex allergy due to frequent surgical procedures and exposure to latex-containing medical products. Complete avoidance of latex in medical equipment, gloves, toys, and household items is the most important preventive intervention to reduce the risk of anaphylaxis or allergic reactions.

C. Administering medication for long-term desensitization is incorrect because there is currently no safe or standard desensitization therapy for latex allergy. Management focuses on prevention and avoidance.

D. Using only nonallergenic latex products is partially misleading. There is no guarantee that “nonallergenic” latex products are completely safe; therefore, latex-free alternatives should be used instead of relying on “nonallergenic” labels.

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A 10-year-old with sickle cell disease reports frequent joint pain. Which nursing intervention is most appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a 9-month-old infant who has shown minimal weight gain. The parent reports the baby eats less than usual and tires easily during play. Both parents are of average height. Which factor is most likely affecting the infant's growth?

Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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