The nurse provides care to a client who is admitted for a sickle cell disease (SCD) crisis. Which of the following is the priority prescription for the nurse to Implement when providing patient care?

Administering a bolus (250 ml) of Normal saline intravenous fluid

Administering oxygen

Administering pain medication

Administering antipyretics

Answer and Explanation

The Correct Answer is C

A.   While hydration is important to help with blood flow, pain management takes precedence during an SCD crisis.
B.   Oxygen may be necessary in certain cases but is not the priority in the acute pain crisis, where pain control is the primary concern.
C.   Pain management is the priority in sickle cell disease (SCD) crisis, as it helps alleviate the intense pain associated with vaso-occlusive events.
D.   Antipyretics are not the priority unless the child has a fever. Pain relief is more urgent during a crisis.

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Correct Answer is D

Explanation

A. This is also correct, but the focus of the question is on the treatment of the child's hair itself.
B. Non-washable toys should be bagged for 2 weeks, not thrown out.
C. While treating all family members is common, only those with active infestations need treatment.
D. This is the correct action after using a medicated shampoo for lice treatment. A fine-toothed comb should be used to remove lice and nits (eggs) from the child's hair.

A. Administer an antiemetic as soon as the child complains of having nausea. B. Encourage drinking large amounts of favorite fluids. C. Administer an antiemetic before chemotherapy begins. D. Encourage the child to skip meals on the day of chemotherapy to avoid triggering nausea.

Correct Answer is C

Explanation

A. Administering an antiemetic only when the child complains of nausea may not be effective in preventing chemotherapy-induced nausea.
B. Encouraging drinking fluids is important, but it is not the most effective way to manage nausea.
C. Administering an antiemetic before chemotherapy begins is the best approach to prevent nausea and vomiting associated with chemotherapy.
D. Skipping meals may contribute to nausea and malnutrition, so this is not an appropriate approach.

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The nurse provides care to a client who is admitted for a sickle cell disease (SCD) crisis. Which of the following is the priority prescription for the nurse to Implement when providing patient care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

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