A nurse is planning care for a child who is experiencing a sickle cell crisis.
Which of the following interventions should the nurse include in the plan of care?
Administer meperidine as needed for plan
Initiate bed rest
Limit fluid intake
Apply cold compresses to affected joints
The Correct Answer is B
Choice A rationale
Meperidine is not the first choice for pain management in sickle cell crisis due to its potential to cause seizures and other side effects.
Choice B rationale
Bed rest is recommended during a sickle cell crisis to decrease the body’s demand for oxygen, reduce the workload of the heart, and improve blood flow.
Choice C rationale
Limiting fluid intake is not recommended during a sickle cell crisis. Adequate hydration is important to prevent further sickling of cells and to maintain kidney function.
Choice D rationale
Cold compresses can cause vasoconstriction and may exacerbate the crisis. Warm compresses are usually recommended to increase blood flow and reduce pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Maintaining a neutral facial expression when speaking to a child with hearing loss is not the most effective
communication strategy. Facial expressions are a crucial part of non-verbal communication, and they can provide important context and emotional cues that can aid in understanding.
Choice B rationale
Using light touch when initiating conversation can be an effective way to gain the child’s attention without startling them. This can be especially helpful for a child with hearing loss, as they may not hear someone approaching or starting to speak.
Choice C rationale
Changing positions frequently to maintain the child’s attention is not recommended. It’s better to maintain a steady position facing the child to facilitate lip-reading and non-verbal communication.
Choice D rationale
Exaggerating the pronunciation of words can actually make lip-reading more difficult for the child. It’s better to speak clearly and at a normal pace.
Correct Answer is B
Explanation
Choice A rationale
Consuming flavored yogurt instead of plain yogurt may not be beneficial for a lactose intolerant individual. Flavored yogurts often contain added sugars and may still contain lactose, which can trigger symptoms in individuals with lactose intolerance.
Choice B rationale
Replacing milk with non-dairy sources of calcium is a common strategy for managing lactose intolerance. Non-dairy sources of calcium include foods like broccoli, oranges, almonds, tofu, and certain fortified products. This can help ensure the individual meets their calcium needs without triggering symptoms of lactose intolerance.
Choice C rationale
Drinking milk on an empty stomach is not typically recommended for individuals with lactose intolerance. Consuming lactose-containing foods or drinks on an empty stomach may increase the likelihood of experiencing symptoms.
Choice D rationale
The tolerance for plain milk versus chocolate milk can vary among individuals with lactose intolerance. However, chocolate milk often contains added sugars and may still contain lactose, which can trigger symptoms.
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