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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Puberty might be considered delayed if there are no scrotal changes by the age of 11 years, as testicular enlargement is one of the earliest signs of puberty in boys.
B. Growth spurts typically occur early in puberty, not towards the end.
C. Changes in voice occur later in puberty, not at the beginning.
D. Gynecomastia (breast tissue development) commonly occurs during early puberty rather than late puberty and is usually temporary.
Correct Answer is ["B","D","E"]
Explanation
A. Nighttime symptoms occurring twice a month is more characteristic of intermittent asthma rather than mild persistent asthma, which might present with nighttime symptoms more frequently.
B. In mild persistent asthma, the peak expiratory flow (PEF) is typically greater than or equal to 80% of the predicted value, indicating relatively good control of asthma symptoms.
C. Continuous symptoms throughout the day are not typical for mild persistent asthma; symptoms usually occur intermittently.
D. Minor limitations with normal activity are expected in mild persistent asthma, as the condition can cause some restrictions in daily activities but not severe impairments.
E. Daytime symptoms occur more than twice a week. This is a key feature of mild persistent asthma. Intermittent asthma = ≤2 days/week. Daily symptoms would indicate moderate persistent.
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