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
Apply warm compresses to the affected areas.
Decrease the child's fluid intake.
Administer furosemide IV twice per day.
Initiate contact precautions.
The Correct Answer is A
A. Applying warm compresses can help to improve blood flow and relieve pain in areas affected by a sickle cell crisis. This is a beneficial intervention.
B. Decreasing fluid intake is not recommended. Maintaining hydration is important in the management of sickle cell disease, as it helps to prevent dehydration and reduces the risk of sickling.
C. Furosemide is a diuretic and is not typically used in the treatment of a sickle cell crisis.
It is not an appropriate intervention in this situation.
D. Contact precautions are not necessary for a sickle cell crisis. This crisis is not a contagious condition. Standard precautions for infection control should be followed.
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Related Questions
Correct Answer is C
Explanation
A. Placing the child in a supine position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.
B. A semi-Fowler's position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.
C. Correct. Placing the child in a lateral position allows for better access to the spinal canal, which is necessary for a lumbar puncture.
D. Placing the child in a prone position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.
Correct Answer is C
Explanation
A. Administering an antidepressant is an important intervention for a client with major depressive disorder. However, before initiating any treatment, it is crucial to assess the client's risk for self-harm or suicidal ideation.
B. Assisting the client in completing activities of daily living (ADLs) is important for their overall well-being, but the most immediate concern for a client with major depressive disorder is to assess their safety and risk for self-harm.
C. Correct. Assessing the client's risk for self-harm or suicidal ideation is the first priority.
This information will help determine the level of intervention and support needed.
D. Encouraging the client to attend group therapy is a valuable intervention, but it is not the first priority. Safety concerns must be addressed before implementing other
therapeutic interventions.
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