A pediatric client in sickle cell crisis comes to the hospital with his mother. When assessing the client, the nurse should expect to find which of the following manifestations?

Constipation

Bradycardia

Pain

Fever

Answer and Explanation

The Correct Answer is C

A. Constipation is not typically associated with sickle cell crisis. While it can occur due to medications or dehydration, it is not a primary symptom of a crisis.

B. Bradycardia is not a typical manifestation of sickle cell crisis. The patient might experience tachycardia due to pain or dehydration.

C. Pain is the hallmark symptom of a sickle cell crisis. The sickle-shaped red blood cells obstruct blood flow, leading to ischemia and severe pain, often in the joints or abdomen.

D. Fever can occur if there is an infection, but pain is the most characteristic finding in a sickle cell crisis.

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Correct Answer is A

Explanation

A. Positive reinforcement, such as giving stickers for sitting on the potty, is an effective way to encourage toilet training in toddlers, especially those with cognitive impairments.

B. Playing a favorite song can help with the process but is not as effective as a structured reinforcement like rewarding the child for participating in the activity.

C. Teaching multiple steps at once can be overwhelming for a toddler with cognitive impairments. It is better to break the task into simple, manageable steps.

D. Scolding the child for accidents can cause shame and hinder progress. Positive reinforcement is more effective than punishment.

A. "Oxygen saturation levels elevate due to scaring of lung tissue and impairment of gas exchange." B. "The condition impairs the function of the intestines, therefore affecting blood glucose levels." C. "The condition produces mucus in the lungs, affecting potassium levels." D. "The condition affects the movement of sodium and water, lowering sodium levels."

Correct Answer is D

Explanation

A. Oxygen saturation levels typically decrease, not elevate, in cystic fibrosis due to scarring and impairment of lung function, leading to difficulty with gas exchange.

B. Cystic fibrosis primarily affects the lungs and digestive system but does not directly impact blood glucose levels unless diabetes develops as a complication.

C. Cystic fibrosis affects mucus production in the lungs, but potassium levels are not typically affected in the way described. Potassium imbalance would be more related to renal function or other factors.

D. Cystic fibrosis affects the movement of sodium and water across cell membranes, leading to thickened mucus and an increased risk of electrolyte imbalances, such as low sodium levels (hyponatremia).

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A pediatric client in sickle cell crisis comes to the hospital with his mother. When assessing the client, the nurse should expect to find which of the following manifestations?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching the parents of a toddler who has a cognitive impairment about toilet training. Which of the following instructions should the nurse include in the teaching?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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