A child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which prescription by the health care provider should the nurse implement first?
Ask the client about personal food preferences.
Determine what the client knows about this illness.
Obtain a urine specimen.
Administer pain relief medication.
The Correct Answer is D
Choice A rationale:
While addressing the client's food preferences is important for their overall care, pain management takes priority during a vaso-occlusive sickle cell crisis to alleviate suffering and prevent complications.
Choice B rationale:
Assessing the client's knowledge about the illness is significant for education, but pain relief should precede this assessment to promptly address their distress.
Choice C rationale:
Obtaining a urine specimen is a relevant diagnostic step, but pain management should be initiated before further assessments or interventions.
Choice D rationale:
Administering pain relief medication is the immediate nursing priority. Sickle cell crises are excruciating, and timely pain management helps alleviate suffering and improve the client's well-being.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
Baclofen from an intrathecal pump primarily affects muscle tone and spasticity, not seizure medications .
Choice B rationale:
Baclofen use generally leads to a reduction in dystonia , not an increase. It's used to manage spasticity, not exacerbate it.
Choice C rationale:
The correct answer. Baclofen administered via an intrathecal pump is intended to reduce muscle tone and spasticity, improving mobility and comfort for patients with conditions like cerebral palsy.
Choice D rationale:
Baclofen doesn't typically cause decreased mobility . In fact, its use is expected to enhance mobility by reducing spasticity.
Correct Answer is B
Explanation
Choice A rationale:
Avoid setting limits or establishing disciplinary guidelines is not appropriate. Children with cognitive impairment require structure and consistent boundaries to ensure their safety and development.
Choice B rationale:
Encouraging the child to socialize with same-aged children is important for their social and emotional development. Interaction with peers fosters communication skills and helps them integrate into society.
Choice C rationale:
Avoid discussing sexuality until the child is an adult may lead to misinformation and confusion. Addressing sexuality in an age-appropriate manner is vital to help the child develop a healthy understanding of their body and relationships.
Choice D rationale:
Encouraging delaying the child's entry into educational programs hinders their cognitive and intellectual growth. Early intervention and tailored educational programs are crucial for children with cognitive impairment to reach their full potential.
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