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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 B

Explanation

A. Give the infant liquids using a small spoon with a long handle:

Post-op, feeding should avoid utensils or anything that could injure the surgical site. Specialized nipples are often used.

B. Apply elbow restraints to the infant.

Elbow restraints prevent the infant from touching or damaging the surgical site, promoting healing.

C. Gently check the infant's suture line using a padded tongue depressor:

Directly touching the suture line can damage the repair and should be avoided unless specifically ordered.

D. Place the infant in a supine position:

After cleft palate repair, positioning should promote airway protection (often side-lying or upright, not flat on the back).

Correct Answer is B

Explanation

A. The infant does not exhibit fear of strangers:

Stranger anxiety typically develops around 6–8 months, so not showing it at exactly 6 months is not immediately concerning.

B. The infant does not roll over from their abdomen to their back:

By 6 months, an infant should be able to roll over. Failure to achieve this milestone suggests a delay in gross motor development and needs evaluation.

C. The infant does not pick up objects from the floor with their fingers:

Fine motor skills such as using fingers to pick up small objects (pincer grasp) develop around 8–9 months.

D. The infant does not sit on the floor unsupported:

Sitting unsupported typically develops between 6–8 months. At 6 months, it may not be fully achieved yet, so it’s not necessarily abnormal.

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