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.

Answer and Explanation

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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Correct Answer is B

Explanation

Choice A rationale:

Allowing the patient to remain in the chosen position is inappropriate as the patient's position indicates distress. This choice should not be chosen.

Choice B rationale:

Placing the patient in semi-Fowler's position is the correct action. This position optimizes lung expansion and promotes easier breathing, which is crucial in managing status asthmaticus.

Choice C rationale:

Administering 100% oxygen via a face mask might be necessary eventually, but optimizing positioning takes precedence. Semi-Fowler's position should be established first.

Choice D rationale:

Encouraging consumption of cool, clear fluids is not the immediate priority in managing status asthmaticus. Respiratory support and positioning are more crucial.

A. Dust the child's room with a damp cloth every week. B. Provide down pillows for the child. C. Use a warm mist humidifier in the child's room. D. Encourage the child to go outside into the cold air at the start of an asthma attack.

Correct Answer is A

Explanation

Dust the child's room with a damp cloth every week.

Choice A rationale:

Dusting the child's room with a damp cloth weekly is the most appropriate strategy. This minimizes allergen exposure by capturing and removing dust particles instead of dispersing them, as dry dusting might. Consistent, thorough cleaning can help prevent exacerbations.

Choice B rationale:

Providing down pillows might aggravate allergies due to their potential to harbor dust mites and allergens, worsening the child's asthma symptoms.

Choice C rationale:

Using a warm mist humidifier could promote mold growth and allergen accumulation in the room, potentially worsening asthma symptoms rather than alleviating them.

Choice D rationale:

Encouraging the child to go outside in cold air during an asthma attack is not recommended. Cold air can trigger bronchospasms and worsen asthma symptoms, making this strategy potentially harmful.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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