You are the nurse providing care for a patient with pelvic inflammatory disease. Which is a priority nursing intervention for this patient?

A. Circumoral cyanosis. This can occur but is less specific for PDA and more related to general issues with oxygenation.
B. Tachycardia. PDA can lead to increased heart rate as the heart works harder to manage the increased blood flow.
C. Elevated diastolic blood pressure. PDA usually causes a decrease in diastolic pressure, not an increase.
D. Bradycardia. Bradycardia is not typically associated with PDA.
E. Bounding peripheral pulses. PDA allows more blood to flow into the systemic circulation, leading to stronger pulses.
F. Continuous murmur. PDA typically causes a continuous "machine-like" murmur because of the continuous flow of blood from the aorta to the pulmonary artery.
G. Narrow pulse pressure. PDA often causes a wide pulse pressure, not a narrow one.

A. "Apply cold compresses when your child expresses pain." Cold can cause vasoconstriction, which may precipitate a sickle cell crisis by reducing blood flow to the extremities, thus increasing the risk of sickling of red blood cells. Warm compresses are recommended to help alleviate pain by promoting blood flow.
B. "Restrict outdoor play activity to 1 hour per day." While it's important to monitor physical activity to avoid overexertion, restricting outdoor play to a specific time frame without considering other factors like hydration and rest isn't the right approach. Physical activity is important but should be balanced with adequate hydration and rest.
C. "Monitor your child's temperature daily." While monitoring temperature is important, it isn't specifically critical on a daily basis unless there is a suspicion of infection. The primary focus should be on hydration and recognizing signs of infection.
D. "Offer fluids to your child multiple times every day." Hydration is crucial for children with sickle cell anemia as it helps to prevent sickling of cells by maintaining good blood flow and preventing dehydration, which can trigger a crisis.