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.

Answer and Explanation

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.

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

Explanation

Choice A reason: Allowing parents to hold, touch, and rock their deceased infant can be a crucial part of the grieving process, offering a personal and intimate way to say goodbye.

Choice B reason: While understanding the cause of the incident is important, it is not considered supportive care; it is more investigative and might not provide immediate comfort to the grieving family.

Choice C reason: Providing mementos like footprints and blankets can serve as tangible memories of the infant, helping parents in their grieving and healing process.

Choice D reason: Advising parents about autopsy decisions is sensitive and should be handled with care; it is not inherently supportive as it may not align with the family's wishes or needs during their time of grief.

A. 8 oz of apple or orange juice, three times per day. B. 24-32 oz of whole cow’s milk per day. C. Meats, eggs, and green vegetables. D. Fruits, whole grains, and rice.

Correct Answer is C

Explanation

Choice A reason: While apple or orange juice contains vitamin C, which can aid iron absorption, it is not sufficient on its own to address anemia.

Choice B reason: Excessive cow's milk can interfere with iron absorption and is not recommended for a child with anemia.

Choice C reason: This is the correct choice. Meats, eggs, and green vegetables are rich in iron, which is essential for treating anemia.

Choice D reason: Fruits, whole grains, and rice are healthy but are not the best sources of iron for addressing anemia in a child.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which two interventions are considered supportive care for a family whose infant has died from sudden infant death syndrome (SIDS)?

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

Explanation

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Correct Answer is C

Explanation

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