Select 2 provider prescriptions the nurse should anticipate.

Proton pump inhibitor

H2-receptor antagonist

Adrenergic bronchodilator

Antiviral

Antispasmodic

Answer and Explanation

Correct Answer : A,B

A. Proton pump inhibitors (PPIs): Reduce stomach acid production, which minimizes esophageal irritation and promotes healing.
B. H2-receptor antagonists: Decrease acid production in the stomach and are commonly used for GER.
C. Adrenergic bronchodilator: Used for respiratory issues, not GER or pyloric stenosis.
D. Antiviral: No evidence of a viral infection in this scenario.
E. Antispasmodic: Not indicated for GER or pyloric stenosis management.

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Correct Answer is ["A","B"]

Explanation

A. Assess for changes in level of consciousness. Abdominal trauma can lead to internal bleeding, which might increase intracranial pressure if bleeding occurs in the brain. Monitoring for neurological changes is essential.
B. Administer factor VIII. Hemophilia A results from factor VIII deficiency, and replacing it prevents further bleeding.
C. Perform passive range of motion hourly. Movement may exacerbate bleeding into the joints or injured tissues. Rest is essential during acute bleeding episodes.
D. Administer factor IX. Factor IX is used for hemophilia B, not hemophilia A.
E. Apply a warming blanket over the child. Hypothermia management may be necessary in some trauma cases, but there is no indication it is needed here based on the scenario provided.

A. Applying heat to the affected areas B. Administering prophylactic antibiotics C. Administering the pneumococcal vaccine D. Promoting bed rest

Correct Answer is D

Explanation

A. Applying heat to the affected areas: In vaso-occlusive crises associated with sickle cell disease,heat packs can be a helpful part of pain management, but they should be used with caution and not in all situations.
B. Administering prophylactic antibiotics: While prophylactic antibiotics are important in preventing infections in sickle cell anemia, this is not the immediate priority during a vaso-occlusive crisis.
C. Administering the pneumococcal vaccine: While vaccination is important, it is not a priority during a vaso-occlusive crisis.
D. Promoting bed rest: The nurse should assist the child to assume a comfortable position so that the child keeps the extremities extended to promote venous return; elevate the head of the bed no more than 30 degrees and avoid putting strain on painful joints.

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Select 2 provider prescriptions the nurse should anticipate.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in the emergency department is caring for a preschool-age child who has hemophilia A and sustained an abdominal trauma following a motor vehicle crash. Which of the following actions should the nurse take? Select all that apply.

Correct Answer is ["A","B"]

Explanation

A nurse is planning care for an adolescent client who has sickle cell anemia and is experiencing a vaso-occlusive crisis. Which of the following interventions is the nurse's priority?

Correct Answer is D

Explanation

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