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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Tachycardia can occur with a brain tumor due to increased intracranial pressure and systemic stress responses.
B. Hyporeflexia is not a typical sign of a brain tumor. Hyperreflexia or changes in reflexes may be seen with central nervous system involvement.
C. Decreased appetite is more common due to nausea, vomiting, and other neurological symptoms associated with brain tumors.
D. A negative Babinski reflex is normal in children over 2 years old, and a positive Babinski reflex (extending the toes) may indicate neurological involvement, not a typical finding in brain tumors.
Correct Answer is B
Explanation
A. The integumentary system may be involved in Kawasaki disease with skin changes, but the cardiovascular system is the most important system to monitor due to the risk of coronary artery aneurysms.
B. Cardiovascular is correct. Kawasaki disease can lead to coronary artery aneurysms, myocarditis, and other cardiovascular complications.
C. The gastrointestinal system is less involved but can show symptoms like abdominal pain, diarrhea, or vomiting.
D. Respiratory involvement is not a primary concern in Kawasaki disease, although respiratory symptoms like cough may occur.
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