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The nurse is caring for a child in the emergency department (ED).

Exhibits
For each potential provider's order, click to specify if the potential order is expected or unexpected for the client.

A.

Cold compresses to painful areas

B.

Bed rest

C.

Blood type and cross match

D.

NPO status

E.

Morphine IV

Answer and Explanation

The Correct Answer is {"A":{"answers":"A"},"B":{"answers":"A"},"C":{"answers":"A"},"D":{"answers":"B"},"E":{"answers":"A"}}

Cold compresses to painful areas: Expected

Nonpharmacologic method to help reduce pain and inflammation during vaso-occlusive crisis.

Bed rest: Expected

Conserves oxygen and prevents further sickling.

Blood type and cross match: Expected

Anticipated if anemia is severe or if transfusion is needed (Hemoglobin 7.6 g/dL).

NPO status: Unexpected

No GI procedures planned; child should stay hydrated to prevent sickling.

Morphine IV: Expected

Opioids are often necessary for severe sickle cell pain management.


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Related Questions

Correct Answer is ["C","D","E"]

Explanation

A. "Hyperextend your child's head for 5 minutes following a seizure."

Hyperextension can obstruct the airway. Instead, place the child in a side-lying position to maintain an open airway.

B. "Immediately following a seizure, give your child 6 ounces of water."

Do not give anything orally until the child is fully awake and the gag reflex has returned to avoid aspiration.

C. "Following a seizure, record the length and characteristics of your child's seizure."

Important for tracking seizure activity and evaluating treatment effectiveness.

D. "Administer rectal diazepam to your child following a seizure."

Rectal diazepam may be prescribed for prolonged or clustered seizures, especially at home.

E. "Call for emergency medical services if the size of your child's pupils are unequal after a seizure."

Unequal pupils post-seizure may indicate increased intracranial pressure or brain injury and warrant immediate medical attention.

Correct Answer is C

Explanation

A. Steatorrhea

This refers to fatty, foul-smelling stools and is associated with malabsorption syndromes (e.g., celiac disease), not UTIs.

B. Jaundice

Jaundice is typically associated with liver or hemolytic conditions. It is not a symptom of a urinary tract infection.

C. Incontinence

In a toilet-trained toddler, new or increased episodes of incontinence may indicate a UTI. Toddlers may have difficulty expressing pain or urinary urgency, so regression in toilet habits is often a key indicator.

D. Rebound tenderness

Rebound tenderness indicates peritoneal irritation, seen in conditions like appendicitis—not in uncomplicated UTIs.

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