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 C

Explanation

A. Using antibacterial soap may be too harsh and could irritate the skin.
B. Expressing comedones (popping pimples) is not recommended as it can lead to scarring and infection.
C. Cleaning the face gently with a mild soap is appropriate for managing acne and preventing irritation.
D. Although diet can affect acne in some cases, avoiding foods like French fries and chocolate is not a proven method for acne control.

A. "All recently used clothing, bedding, and towels must be washed in warm water." B. "Toys that can't be dry cleaned or washed must be thrown out." C. "I will treat all the family members to be on the safe side." D. “We need to comb through our child's hair with a fine-toothed comb to remove the dead lice and nits after using the medicated shampoo."

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.

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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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