The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso- occlosive crisis which prescription documented in the child's chart should the nurse question?

Position for comfort

Restrict fluid intake

Avoid strain on painful joints

Apply nasal oxygen at 2 L/minute

Answer and Explanation

The Correct Answer is B

A. Positioning for comfort is a common intervention during a vaso-occlusive crisis to alleviate pain.

B. Restricting fluid intake is contraindicated in vaso-occlusive crisis; hydration is crucial to help reduce sickling and improve circulation.

C. Avoiding strain on painful joints is appropriate to prevent exacerbating pain and potential damage.

D. Applying nasal oxygen at 2 liters may be indicated to ensure adequate oxygenation, especially if the child is experiencing any respiratory distress.

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Correct Answer is C

Explanation

A. Ibuprofen can be used for fever, but it is important to check if the child has varicella before administering due to potential Reye's syndrome.

B. The child should stay home until all lesions have crusted over to prevent spreading the virus, even if the fever is gone.

C. Once lesions have crusted, the child is no longer contagious, indicating understanding of the contagious period.

D. Using cool or tepid water is acceptable for soothing itching; however, it does not specifically address the need for proper care during the contagious phase.

A. Avoid bubble baths B. Wipe perineal area front to back C. Complete the course of prescribed antibiotics D. Encourage frequent voiding E. Wear cotton underwear F. Encourage frequent fluids by mouth

Correct Answer is ["A","B","C","D","E","F"]

Explanation

A. Avoiding bubble baths is important as they can irritate the urethra and exacerbate UTIs.

B. Wiping the perineal area from front to back is essential to prevent bacteria from the rectal area from entering the urinary tract.

C. Completing the course of prescribed antibiotics is crucial to fully eradicate the infection and prevent recurrence.

D. Encouraging frequent voiding helps to flush out bacteria from the urinary tract and prevent infection.

E. Wearing cotton underwear helps keep the area dry and reduce the risk of bacterial growth.

F. Encouraging frequent fluid intake aids in hydration and helps dilute the urine, reducing irritation and promoting flushing of bacteria.

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The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso- occlosive crisis which prescription documented in the child's chart should the nurse question?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A 4 year old child presents with varicella and vesicular rash in various stages of healing. Which statement by the parent indicates understanding of the teaching?

Correct Answer is C

Explanation

A nurse is caring for a child with a urinary tract infection. Which of the following should the nurse include in teaching for the child and family? Select all that apply

Correct Answer is ["A","B","C","D","E","F"]

Explanation

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