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. Complete blood count B. Urinalysis C. Abdominal ultrasound D. Bladder scan

Correct Answer is B

Explanation

A complete blood count (CBC) may be ordered later if further infection or sepsis is suspected, but it is not the first diagnostic test.
B. Urinalysis is the most appropriate initial test to diagnose a urinary tract infection (UTI), which is common in children with symptoms such as dysuria and irritability.
C. An abdominal ultrasound is more appropriate if there are concerns about abdominal pathology, which is not suggested by the symptoms.
D. A bladder scan is not the first diagnostic step and would be used to assess post-void residual urine if necessary.

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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

A 2-year-old child presents to the hospital with a fever of 38.4 Celsius and the parents state the child has had dysuria and Irritability, with a loss of appetite. What diagnostic test should the nurse expect to be ordered first based on the symptoms?

Correct Answer is B

Explanation

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