A nurse is assessing a child who is in sickle cell crisis.
Which of the following findings should the nurse expect?

Pain.

Constipation.

High fever.

Bradycardia.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Pain is a hallmark symptom of sickle cell crisis due to vaso-occlusion, which restricts blood flow and oxygen delivery to tissues. It results from ischemia in affected areas, triggering severe discomfort that requires prompt management with analgesics and interventions to improve circulation.

Choice B rationale

Constipation is not typically associated with sickle cell crisis. While dehydration might contribute to gastrointestinal changes, the primary symptoms revolve around pain and vaso-occlusive events impacting blood flow and oxygen delivery.

Choice C rationale

High fever can occur due to infections secondary to spleen dysfunction in sickle cell patients, but it is not a direct symptom of crisis itself. Fever requires evaluation to rule out underlying causes, as infections pose serious risks for these individuals.

Choice D rationale

Bradycardia is atypical in sickle cell crisis. Instead, tachycardia may occur due to compensatory mechanisms for ischemia and hypoxia. Bradycardia is unrelated to the vaso-occlusive events characteristic of sickle cell crises. .

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Correct Answer is A

Explanation

Choice A rationale

Horizontal eustachian tubes in children with cleft palate increase the risk of otitis media due to impaired drainage and ventilation. Surgical closure of the palate helps restore anatomical structure, reducing the incidence of middle ear infections and associated complications.

Choice B rationale

Small external ear structure is not anatomically linked to hydrocephalus, and diuretics are unrelated to managing this condition. Hydrocephalus stems from cerebrospinal fluid accumulation, not external ear anatomy, making this option inaccurate.

Choice C rationale

A large tongue may lead to airway obstruction but is not linked to otitis externa. Ear drops manage external ear infections but do not address anatomical changes associated with cleft palate, which impacts the eustachian tubes and middle ear.

Choice D rationale

An opening in the lip does not directly cause pneumonia. Pneumonia is primarily a respiratory condition influenced by infections, not lip anatomy. Corticosteroids are not standard interventions for pneumonia related to cleft palate complications.

A. Playing on the backyard swings and running around outside are exercises our child will really enjoy. B. Three to four times a day we will perform chest therapy and postural drainage on our child. C. A high-protein, high-calorie diet may need to be supplemented with a high-calorie formula. D. Pancreatic enzymes will not be necessary if our child has a good appetite and regular bowel movements.

Correct Answer is D

Explanation

Choice A rationale

Exercise is encouraged for cystic fibrosis patients as it improves respiratory function and overall physical health. Outdoor activities like swinging and running benefit the child by promoting lung clearance through increased breathing depth, which supports disease management and physical development.

Choice B rationale

Chest therapy and postural drainage improve mucus clearance and lung function in cystic fibrosis patients. Performing these interventions regularly ensures respiratory health by reducing mucus accumulation and preventing infections, promoting the child’s well-being.

Choice C rationale

High-protein, high-calorie diets are essential for cystic fibrosis patients due to increased metabolic demands. Supplementing the diet with high-calorie formula supports weight gain and compensates for malabsorption. These interventions are pivotal for growth and energy maintenance.

Choice D rationale

Pancreatic enzymes are crucial for digestion and nutrient absorption in cystic fibrosis patients, as pancreatic insufficiency leads to malabsorption. Even with good appetite and bowel movements, skipping enzyme supplementation results in nutrient deficiencies, growth delays, and gastrointestinal issues.

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A nurse is assessing a child who is in sickle cell crisis.Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is A

Explanation

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Correct Answer is D

Explanation

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A nurse is assessing a child who is in sickle cell crisis.
Which of the following findings should the nurse expect?