A 9-year-old with sickle cell anemia wants to participate in school activities but their parent is afraid. What school activity could the nurse suggest for the child with sickle cell anemia?
Ice Hockey
Tackle American Football
Art Club
Basketball
The Correct Answer is C
A. Ice Hockey: Cold temperatures and physical exertion can trigger a sickle cell crisis by causing vasoconstriction and hypoxia.
B. Tackle American Football: High-impact, strenuous activities increase oxygen demand, putting the child at risk for a crisis.
C. Art Club: A non-strenuous activity that avoids physical strain, dehydration, or extreme temperatures, making it safe for children with sickle cell anemia.
D. Basketball: While it’s not as physically demanding as some sports, it still involves moderate to intense exertion, which could precipitate a crisis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Inhaled Glucocorticoid: Used for managing asthma or other respiratory conditions, not for cardiac function.
B. Beta Adrenergic Blocker: Reduces blood pressure and heart rate but is not the mechanism of Digoxin.
C. Cardiac Glycoside: Digoxin is used to improve myocardial contractility and slow the heart rate, which aligns with this classification.
D. Angiotensin Enzyme Inhibitor: Typically used to manage hypertension and heart failure by affecting the renin-angiotensin system.
Correct Answer is C
Explanation
A. Initiate a 2 L/day fluid restriction: Fluid intake should be increased, not restricted, during a sickle cell crisis to help prevent dehydration and improve circulation.
B. Encourage exercise: Exercise is not recommended during a sickle cell crisis as it can worsen symptoms and lead to more complications.
C. Assist with administering a blood transfusion: Blood transfusions are a common treatment during a sickle cell crisis to help increase the number of healthy red blood cells and decrease the risk of further complications.
D. Withhold opioids to avoid dependence: Pain management is essential in a sickle cell crisis, and withholding opioids could lead to unnecessary suffering. Opioids should be given based on the severity of the pain.
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