The nurse is caring for a 14-year-old child who is in a sickle cell crisis and has severe pain. Which nursing intervention is the most appropriate for this child?
Administer non-opioid analgesics.
Use guided imagery to prepare the child for painful procedures.
Suggest diversional activities, such as coloring.
Request an order to start an IV PCA.
The Correct Answer is D
Choice A reason: Non-opioid analgesics are typically not strong enough to manage the severe pain associated with a sickle cell crisis.
Choice B reason: Guided imagery can be a helpful adjunct, but it is not the primary method of pain control during a crisis.
Choice C reason: Diversional activities may help distract from the pain but are not sufficient as the sole method of pain management.
Choice D reason: This is the correct choice. An IV PCA (patient-controlled analgesia) allows the child to manage pain effectively and is appropriate for severe pain during a sickle cell crisis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A reason: Limited eye movement is not typically associated with open-angle glaucoma, which primarily affects peripheral vision.
Choice B reason: Photosensitivity can be a symptom of various eye conditions but is not the primary issue in open-angle glaucoma.
Choice C reason: This is the correct choice. Open-angle glaucoma is characterized by the gradual loss of peripheral vision, which can lead to tunnel vision if untreated.
Choice D reason: Blurred distance vision can occur in many eye conditions but is not specific to open-angle glaucoma.
Correct Answer is A
Explanation
Choice A reason: This is the correct choice. A respiratory rate of 48 is high for a 3-year-old, indicating that the croup is affecting his breathing.
Choice B reason: This choice is incorrect. A heart rate of 90 is within the normal range for a 3-year-old.
Choice C reason: This choice is incorrect. A blood pressure of 100/52 is within the normal range for a 3-year-old.
Choice D reason: This choice is incorrect. A temperature of 98.8°F (37.1°C) is within the normal range for a 3-year-old.
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