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. Wait until your child indicates that he is tired before putting him to bed B. Allow your child to watch an animated movie over night before bedtime C. Wake your child up during the night terror D. Avoid allowing you child to sleep in your bed

Correct Answer is C

Explanation

Choice A rationale

While it’s important for a child to have adequate sleep, waiting until the child indicates that they are tired before putting them to bed may not be the best approach. Children often do not recognize their own signs of fatigue and may become overtired, which can actually make it more difficult for them to fall asleep and stay asleep.

Choice B rationale

Allowing a child to watch an animated movie before bedtime may seem like a harmless routine, but it can actually interfere with their sleep. The light from the screen can suppress the production of melatonin, the hormone that regulates sleep, and the content of the movie can be stimulating rather than relaxing.

Choice C rationale

Waking your child up during a night terror can be beneficial. Night terrors occur during the deepest stages of sleep and can be frightening for both the child and the parents. By gently waking your child before the usual time of a night terror, you can interrupt the sleep cycle and potentially prevent the night terror from occurring.

Choice D rationale

While it may be tempting to allow your child to sleep in your bed, especially if they are experiencing night terrors, this is not typically recommended. Co-sleeping can create a dependency and make it more difficult for the child to learn to self-soothe and fall asleep independently.

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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?

Nursing Test Bank

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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?