A nurse is caring for a toddler who has acute laryngotracheobronchitis and has been placed in a cool mist tent. Which of the following findings indicates that the treatment has been effective?

Choice A reason: This choice is incorrect because bradycardia is not a common finding in a child who is in a sickle cell crisis. Bradycardia is a condition in which the heart rate is slower than normal (less than 60 beats per minute). It may be caused by various factors such as hypothermia, hypothyroidism, or medication side effects, but it does not indicate a sickle cell crisis.

Choice B reason: This choice is incorrect because constipation is not a common finding in a child who is in a sickle cell crisis. Constipation is a condition in which the bowel movements are infrequent, hard, or difficult to pass. It may be caused by various factors such as dehydration, a low-fiber diet, or lack of physical activity, but it does not indicate a sickle cell crisis.

Choice C reason: This choice is correct because pain is a common finding in a child who is in a sickle cell crisis. Sickle cell crisis is a condition in which the red blood cells become sickle-shaped and clump together, blocking the blood flow and oxygen delivery to the organs and tissues. It may cause severe pain in the chest, abdomen, joints, or bones, as well as symptoms such as pallor, jaundice, fatigue, or shortness of breath.

Choice D reason: This choice is incorrect because high fever is not a specific finding in a child who is in a sickle cell crisis. High fever may indicate infection, inflammation, or dehydration, but it does not indicate sickle cell crisis. However, the infection can trigger or worsen the sickle cell crisis, so it should be treated promptly with antibiotics and fluids.

Choice A: Applying heat to a bleeding site can increase blood flow and worsen the bleeding. This statement indicates a need for further teaching, as the parent should avoid applying heat and use cold compresses instead.

Choice B: Having the child rest can reduce physical activity and prevent further injury or bleeding. This statement indicates that the parent understands the teaching, as resting is one of the recommended actions for controlling a minor bleeding episode.

Choice C: Compressing the site can apply pressure and stop the bleeding. This statement indicates that the parent understands the teaching, as compressing is one of the recommended actions for controlling a minor bleeding episode.

Choice D: Elevating the affected part can reduce blood pressure and slow down the bleeding. This statement indicates that the parent understands the teaching, as elevating is one of the recommended actions for controlling a minor bleeding episode.