A nurse is caring for a school- age child who is experiencing a sickle cell crisis.
Which of the following actions should the nurse take?

initiate contact precaution

Apply warm compresses to the affected area.

Decrease the child's fluid intake.

Administer furosemide IV twice per day.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Initiating contact precautions is not necessary for a child experiencing a sickle cell crisis. Sickle cell disease is not contagious and does not require isolation precautions.

Choice B rationale

Applying warm compresses to the affected area can help increase blood flow and reduce pain during a sickle cell crisis. Warmth can help dilate blood vessels, allowing more blood to reach the affected area and reducing the blockage caused by the sickle cells.

Choice C rationale

Decreasing the child’s fluid intake is not recommended during a sickle cell crisis. In fact, it’s important to encourage fluid intake to prevent dehydration, which can worsen the crisis.

Choice D rationale

Administering furosemide IV twice per day is not typically part of the treatment plan for a sickle cell crisis. Furosemide is a diuretic, which could potentially lead to dehydration, worsening the crisis.

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Correct Answer is B

Explanation

Choice A rationale

Applying baby powder under the harness straps daily is not recommended. Baby powder can cake up and cause skin irritation.

Choice B rationale

Placing the diaper under the straps of the harness is correct. This helps to keep the harness clean and dry.

Choice C rationale

Adjusting the harness straps daily is not recommended unless specifically instructed by the doctor. Incorrect adjustments can compromise the effectiveness of the treatment.

Choice D rationale

Massaging lotion into the skin under the harness twice per day is not recommended. Lotion can make the skin slippery and cause the harness to move out of place.

A. Pinpoint pupils B. Hypothermia C. Ataxia D. Hyperactive reflexes

Correct Answer is C

Explanation

Choice A rationale

Pinpoint pupils are not a typical finding in an adolescent who has inhaled gasoline. Pinpoint pupils are more commonly associated with opioid use.

Choice B rationale

Hypothermia is not a typical finding in an adolescent who has inhaled gasoline. Inhalation of gasoline can cause central nervous system depression, leading to symptoms such as dizziness, confusion, and ataxia.

Choice C rationale

Ataxia, or lack of muscle coordination, can occur after inhaling gasoline. The gasoline vapors can depress the central nervous system, leading to symptoms such as dizziness, confusion, and ataxia.

Choice D rationale

Hyperactive reflexes are not a typical finding in an adolescent who has inhaled gasoline. Inhalation of gasoline can cause central nervous system depression, leading to symptoms such as dizziness, confusion, and ataxia.

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A nurse is caring for a school- age child who is experiencing a sickle cell crisis.Which of the following actions should the nurse take?

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A nurse is caring for a school- age child who is experiencing a sickle cell crisis.
Which of the following actions should the nurse take?