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 A

Explanation

A. Penicillin is used to eradicate the group A streptococcus bacteria that cause rheumatic fever, preventing further complications such as heart damage.
B. Corticosteroids may be used to manage symptoms of chorea (involuntary movements), but the primary treatment for rheumatic fever involves antibiotics like penicillin to eradicate the infection.
C. Salicylates (aspirin) are often used to manage the inflammation and fever associated with rheumatic fever, so they are not avoided. This choice is incorrect.
D. Bed rest is only indicated if the child has severe carditis, not as a routine measure for all children with rheumatic fever.

A. Oliguria B. Negative Kernig's sign C. Bulging fontanel D. Negative Brudzinski sign

Correct Answer is C

Explanation

A. Oliguria (decreased urine output) may be a sign of dehydration or kidney dysfunction but is not typically the primary symptom of a CNS infection.
B. A negative Kernig's sign (no resistance to leg extension) is a reassuring sign and suggests that meningitis or other CNS infections are less likely. A positive sign would suggest possible meningitis.
C. Bulging of the fontanel is a sign of increased intracranial pressure, which can occur in CNS infections such as meningitis. This is a critical finding that requires immediate attention.
D. A negative Brudzinski sign means there is no neck stiffness or pain when the neck is flexed, which is a good finding. A positive sign would suggest the presence of meningitis.

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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

The nurse is admitting a child with rheumatic fever. Which therapeutic management should the nurse expect to Implement?

Correct Answer is A

Explanation

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Correct Answer is C

Explanation

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