A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care plan should be given priority?

Encouraging the child to take deep breaths hourly

Maintaining fluids through an intravenous line

Beginning active range-of-motion exercises

Seeing that the child ingests a protein-rich diet

Answer and Explanation

The Correct Answer is B

A. Encouraging deep breathing is important for preventing pulmonary complications but is not the priority in managing a vaso-occlusive crisis.

B. Maintaining hydration through intravenous fluids is the priority as it helps to reduce blood viscosity and prevent further sickling of cells, which is critical in managing a vaso-occlusive crisis.

C. Active range-of-motion exercises are important but are not a priority during an acute vaso-occlusive crisis.

D. A protein-rich diet supports overall health but is not immediately relevant to the acute management of a vaso-occlusive crisis.

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Correct Answer is A

Explanation

A. Notifying the healthcare provider immediately is the best intervention because spitting up blood post-tonsillectomy could indicate bleeding, which requires prompt medical evaluation and intervention.

B. While continuing to assess for bleeding is important, immediate notification of the healthcare provider takes precedence to address potential complications.

C. Suctioning the throat might be contraindicated and could increase the risk of further bleeding.

D. Encouraging coughing is not appropriate as it could increase bleeding risk.

A. Heart failure B. Asthma C. Polycythemia D. Pulmonary hypertension

Correct Answer is C

Explanation

A. While heart failure can occur in many congenital heart defects, it is not the most specific condition commonly associated with tetralogy of Fallot.

B. Asthma is not typically associated with tetralogy of Fallot. It is a respiratory condition that does not have a direct link to congenital heart defects.

C. Tetralogy of Fallot is associated with polycythemia due to chronic hypoxemia. The body produces more red blood cells in response to low oxygen levels, leading to an increased hematocrit.

D. While pulmonary hypertension can occur in congenital heart defects, tetralogy of Fallot is more directly associated with polycythemia as a result of the decreased blood flow to the lungs.

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A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care plan should be given priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse notices that a child is spitting up small amounts of blood in the immediate postoperative period after a tonsillectomy. What would be the best intervention?

Correct Answer is A

Explanation

Which of the following conditions is commonly associated with tetralogy of Fallot?

Correct Answer is C

Explanation

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