Nokea
A child with sickle cell anemia is experiencing a vaso-occlusive crisis. Which of the following actions should the nurse take?
- A. Administer meperidine for pain.
- B. Apply cold compresses to the child's joints.
- C. Limit the child's fluid intake.
- D. Maintain bed rest for the child.
Correct Answer: D
Rationale: During a vaso-occlusive crisis in sickle cell anemia, maintaining bed rest is crucial to reduce oxygen consumption and alleviate pain. Movement can worsen the crisis by increasing sickling of red blood cells, leading to further tissue damage and pain. Bed rest helps to improve blood flow, reduce pain, and promote healing.
You may also like to solve these questions
A nurse provides dietary teaching to the guardian of a school-age child with cystic fibrosis. Which statement should the nurse make?
- A. You should offer your child high-protein meals and snacks throughout the day.
- B. You should decrease your child's dietary fat intake to less than 10% of their caloric intake.
- C. You should restrict your child's calorie intake to 1,200 per day.
- D. You should give your child a multivitamin once weekly.
Correct Answer: A
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
The patient taking warfarin for prevention of deep vein thrombosis has an INR of 1.2. Which action by the nurse is most appropriate?
- A. Administer IV push protamine sulfate
- B. Continue with the current prescription.
- C. Prepare to administer Vitamin K
- D. Call healthcare provider to increase the dose
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
Which child does not need a urinalysis to evaluate for a UTI?
- A. A 4-month-old female with fussiness, poor appetite, T 100.8°F, HR 120.
- B. A 4-year-old female with dysuria and frequent urination; vitals are normal.
- C. An 8-year-old male with a history of ureteral reimplantation but no current symptoms.
- D. A 12-year-old female with lower right back pain and T 101.5°F.
Correct Answer: C
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
What is the most appropriate nursing consideration for a patient who is prescribed verapamil and digoxin?
- A. Restrict intake of oral fluids and high-fiber foods
- B. Take an apical pulse for 30 seconds before administration
- C. Notify the healthcare provider of nausea, vomiting, and visual changes
- D. Hold the medications if the heart rate is greater than 110 bpm
Correct Answer: C
Rationale: When a patient is prescribed verapamil and digoxin, it is crucial to monitor for signs of digoxin toxicity due to the potential interaction between these medications. Verapamil can elevate digoxin blood serum levels, increasing the risk of toxicity. Symptoms of digoxin toxicity include nausea, vomiting, and visual changes. Restricting intake of oral fluids and high-fiber foods is not a specific consideration related to this medication combination. Before administering digoxin, it is essential to take an apical pulse for a full minute, not just 30 seconds. Additionally, holding the medications if the heart rate exceeds 110 bpm is not a typical response to the combination of verapamil and digoxin, which can cause bradycardia rather than tachycardia.
A healthcare professional is assessing an infant who has heart failure. Which of the following findings should the healthcare professional expect?
- A. Weight gain
- B. Bounding pulses
- C. Hyperactivity
- D. Increased urine output
Correct Answer: A
Rationale: In infants with heart failure, one of the key manifestations is weight gain due to fluid retention. The heart's inability to pump effectively can lead to fluid buildup in the body, causing weight gain. Bounding pulses, hyperactivity, and increased urine output are not typically associated with heart failure in infants.