Nokea
a school-age child is admitted in vaso-occlusive sickle cell crisis. the child's care should include which of the following?
- A. correction of acidosis.
- B. adequate hydration, pain management.
- C. pain management, administration of heparin.
- D. adequate oxygenation, replacement of factor viii
Correct Answer: B
Rationale: In a vaso-occlusive sickle cell crisis, it is crucial to focus on adequate hydration and pain management. Hydration is essential to prevent further sickling of red blood cells, which can exacerbate tissue damage and pain. Pain management is a key aspect of care as vaso-occlusive crises often cause severe pain that requires prompt and effective treatment. Administering heparin is not indicated in a vaso-occlusive sickle cell crisis as it is primarily used for conditions like deep vein thrombosis. Correcting acidosis and replacing factor VIII are also not typically part of the management of a vaso-occlusive sickle cell crisis.
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The nurse is caring for a client with thrombocytopenia. What is the best way to protect this client?
- A. Limit visits by family members
- B. Encourage the client to use a wheelchair
- C. Use the smallest needle possible for injections
- D. Maintain accurate fluid intake and output records Situation: AIDS cases has been all over the country and yet only few are reported cases due to the stigma attach to it.
Correct Answer: C
Rationale: Thrombocytopenia is a condition characterized by a low platelet count in the blood, which can lead to abnormal bleeding and bruising. Using the smallest needle possible for injections helps minimize the risk of causing bleeding or bruising in clients with thrombocytopenia. Larger needles can cause more tissue damage and increase the chances of bleeding complications in these individuals. Therefore, using the smallest needle possible is the best way to protect the client from potential harm related to their condition.
A newborn is diagnosed with retinopathy of prematurity. What should the nurse know about this diagnosis?
- A. Blindness cannot be prevented.
- B. No treatment is currently available.
- C. Cryotherapy and laser therapy are effective treatments.
- D. Long-term administration of oxygen will be necessary.
Correct Answer: C
Rationale: Retinopathy of prematurity (ROP) is a disorder of the developing retinal blood vessels in premature infants. Cryotherapy and laser therapy are both effective treatments for ROP. These treatments can help prevent vision loss and improve the chances of maintaining good vision. Prompt detection and intervention are key in managing ROP to prevent long-term visual impairment. Therefore, the nurse should be aware that cryotherapy and laser therapy are effective interventions for ROP, contrary to the options suggesting blindness cannot be prevented or no treatment is available. Long-term administration of oxygen can contribute to the development of ROP, so careful monitoring and management of oxygen levels are necessary in premature infants to prevent this condition.
The least common late neurologic sequelae that may be encountered post craniospinal irradiation in a 9-year-old child with medulloblastoma is
- A. microcephaly
- B. learning disabilities
- C. cognitive impairment
- D. second malignancy
Correct Answer: D
Rationale: Second malignancy is a rare late effect compared to cognitive and learning impairments.
A 3-day-old neonate has a large, soft, painless mass involving the head and neck region that mostly transilluminate; CT scan reveals a cystic mass involving the neck and intrathoracic mediastinum. The BEST modality for treatment of this neonate is
- A. surgical resection
- B. injection sclerosing agent
- C. laser therapy
- D. systemic interferon therapy
Correct Answer: A
Rationale: Surgical resection is the definitive treatment for cystic hygroma.
A patient asks the nurse what side effects to expect from a muscle relaxant medication that has been prescribed. Which of the ff. side effects should the nurse relate?
- A. Hypoglycaemia
- B. Drowsiness
- C. Hypotension
- D. Dyspnea
Correct Answer: B
Rationale: Muscle relaxant medications, such as benzodiazepines or cyclobenzaprine, commonly cause drowsiness as a side effect. This is a result of the medications affecting the central nervous system, leading to sedative effects. Patients taking muscle relaxants should be advised to avoid activities that require alertness, such as driving or operating machinery, until they understand how the medication affects them. It is important for the nurse to inform the patient about this potential side effect to ensure their safety and to prevent any accidents or injuries due to drowsiness. On the other hand, hypoglycemia, hypotension, and dyspnea are not common side effects of muscle relaxant medications.