A nurse is collecting data from a child who has sickle-cell disease and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect?

Constipation

Vomiting

Pain

Bradycardia

Answer and Explanation

The Correct Answer is C

A. Constipation: Vaso-occlusive crisis in sickle-cell disease is characterized by severe pain due to ischemia from blocked blood flow, rather than gastrointestinal symptoms like constipation.
B. Vomiting: Vomiting is not typically associated with vaso-occlusive crisis but may occur due to pain or other causes.
C. Pain: Pain is the hallmark symptom of vaso-occlusive crisis in sickle-cell disease, caused by ischemia and tissue damage.
D. Bradycardia: Bradycardia is not a typical finding in vaso-occlusive crisis; instead, tachycardia might be present due to pain or stress.

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Correct Answer is C

Explanation

A. Diarrhea: Diarrhea is not a typical finding associated with Wilms' tumor.
B. Swollen joints: Swollen joints are not associated with Wilms' tumor and would suggest a different condition.
C. Abdominal mass: Wilms' tumor typically presents with an asymptomatic abdominal mass that may be firm, non-tender, and palpable.
D. Jaundice: Jaundice is not typically associated with Wilms' tumor and would suggest liver dysfunction or another underlying cause.

A. Test the stool for occult blood B. Perform a tape test C. Initiate IV fluids D. Collect stool specimen for culture

Correct Answer is B

Explanation

A. Test the stool for occult blood: Testing for occult blood in the stool is not relevant for diagnosing pinworms.
B. Perform a tape test: The tape test involves applying transparent tape to the perianal area to collect pinworm eggs, which is the appropriate diagnostic method for Enterobius vermicularis.
C. Initiate IV fluids: IV fluids are not indicated for the diagnosis or treatment of pinworms unless the child is severely dehydrated, which isn't suggested by the scenario.
D. Collect stool specimens for culture: Stool culture is not used to diagnose pinworms; the tape test is more appropriate.

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A nurse is collecting data from a child who has sickle-cell disease and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a 1-year-old child who has Wilms' tumor. Which of the following findings should the nurse expect?

Correct Answer is C

Explanation

A nurse is caring for a child who is suspected to have Enterobius vermicularis (pinworms). Which of the following actions should the nurse take?

Correct Answer is B

Explanation

A nurse is contributing to the plan of care for a child who has sickle cell crisis. Which of the following actions should the nurse recommend to include?

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