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.
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. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Umbilical cord compression is associated with variable decelerations, not late decelerations. The distinction lies in the timing of the decelerations, as umbilical cord compression causes abrupt drops in heart rate rather than gradual late drops after contractions.
Choice B rationale
Late decelerations occur due to uteroplacental insufficiency, where the placenta fails to adequately supply oxygen to the fetus. This is a sign of fetal distress, often caused by conditions such as maternal hypotension or placental abruption, requiring prompt intervention.
Choice C rationale
Fetal head compression leads to early decelerations, which are benign and occur as the head is compressed during contractions. This contrasts with late decelerations, which are indicative of compromised fetal oxygenation.
Choice D rationale
Maternal bradycardia does not cause late decelerations on the fetal monitor. Late decelerations are specifically related to uteroplacental insufficiency, not maternal cardiac conditions. .
Correct Answer is ["75"]
Explanation
Step 1 is (50 mg × 6 kg) ÷ 24 hours. The total daily dose calculates to 300 mg/day.
Step 2 is 300 mg ÷ 4 doses/day. Each dose calculates to 75 mg of Amoxicillin.
Final calculated dose per administration is 75 mg.
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