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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
Initiating bleeding precautions is an important action when caring for a child with acute lymphocytic leukemia. These patients are at increased risk of bleeding due to decreased platelet counts.
Choice B rationale
Placing the child in a knee-chest position is not typically necessary in the care of a child with acute lymphocytic leukemia.
Choice C rationale
Applying viscous lidocaine to the oral mucosa is not typically necessary in the care of a child with acute lymphocytic leukemia.
Choice D rationale
Obtaining a rectal temperature every 4 hours is not typically necessary in the care of a child with acute lymphocytic leukemia. However, regular monitoring of the child’s temperature is important to detect any signs of infection.
Correct Answer is B
Explanation
Choice A rationale
Increased urine output is not a typical indication of effective chest physiotherapy treatment in a child with cystic fibrosis.
Choice B rationale
Increased expectoration, or coughing up and spitting out mucus, is a sign that chest physiotherapy is effective. The goal of chest physiotherapy is to help clear the thick, sticky mucus from the lungs of children with cystic fibrosis.
Reduced pain is not a typical indication of effective chest physiotherapy treatment in a child with cystic fibrosis.
Choice D rationale
An increased heart rate is not a typical indication of effective chest physiotherapy treatment in a child with cystic fibrosis.
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