A nurse is developing a plan of care for an adolescent who is experiencing a vaso-occlusive crisis. The adolescent reports painful joints, a fever, and abdominal pain. Which of the following interventions should the nurse include in the plan?
Administer antispasmodics.
Apply ice to joints.
Initiate IV fluids.
Assess for hyperkalemia.
The Correct Answer is C
A. Administer antispasmodics: Antispasmodics are not typically used for vaso-occlusive crisis pain, which is usually due to ischemia and not muscle spasms.
B. Apply ice to joints: Applying ice is not recommended as it can cause vasoconstriction, worsening the sickling of cells and the pain associated with a vaso-occlusive crisis. Heat application is more appropriate to promote circulation.
C. Initiate IV fluids: Correct. Hydration is a key intervention in managing a vaso-occlusive crisis because it helps to decrease the viscosity of the blood and prevent further sickling of cells.
D. Assess for hyperkalaemia: While it is important to monitor electrolyte levels, hyperkalaemia is not directly associated with a vaso-occlusive crisis. The primary focus should be on pain management and hydration.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Tea tree: Tea tree oil is known for its antimicrobial properties and is commonly used for skin issues such as acne or fungal infections. It is not typically recommended for relaxation purposes.
B. Eucalyptus: Eucalyptus oil is often used for its respiratory benefits, such as easing congestion and colds. It is stimulating rather than calming and is not commonly recommended for relaxation.
C. Lavender: Lavender oil is widely recognized for its calming and relaxing properties. It is often used to help reduce anxiety, promote relaxation, and improve sleep quality.
D. Jasmine: Jasmine oil is known for its uplifting and energizing properties rather than relaxing. While it has a pleasant scent and can have mood-enhancing effects, it is not specifically recommended for relaxation.
Correct Answer is B
Explanation
A. "I should withhold my child's medication before physical activity." Withholding medication is not advised as prednisone helps manage inflammation. The child may require medication to control symptoms during physical activity.
B. "My child might experience mood swings." Mood swings are a known side effect of prednisone, a corticosteroid. This statement indicates correct understanding.
C. "I should take my child to the clinic for a weekly blood test." Routine weekly blood tests are not typically required for prednisone. Monitoring might be necessary, but not weekly blood tests.
D. "My child might have a decreased appetite." Prednisone often causes increased appetite rather than decreased. This statement is incorrect.
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