Nokea
When teaching parents of a 5-year-old child with sickle cell anemia about pain management, what information should be included?
- A. Apply cold compresses to painful areas.
- B. Encourage the child to rest as much as possible.
- C. Administer prescribed pain medication at the first sign of pain.
- D. Offer a high-protein diet to help with pain management.
Correct Answer: C
Rationale: Administering prescribed pain medication at the first sign of pain is crucial in managing sickle cell anemia-related pain effectively. Prompt administration helps prevent the pain from escalating and becoming severe, enhancing the child's comfort and quality of life. Cold compresses, rest, and diet modifications may play supportive roles but are not as directly impactful in addressing acute pain episodes associated with sickle cell anemia.
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A 2-week-old female infant is hospitalized for the surgical repair of an umbilical hernia. After returning to the postoperative neonatal unit, her RR and HR have increased during the last hour. Which intervention should the nurse implement?
- A. Notify the healthcare provider of these findings
- B. Administer a PRN analgesic as prescribed
- C. Document the findings in the infant's medical record
- D. Comfort the infant by swaddling and gently rocking
Correct Answer: A
Rationale: In a postoperative neonatal setting, an increase in respiratory rate (RR) and heart rate (HR) in an infant could indicate pain or distress. It is crucial for the nurse to notify the healthcare provider promptly to assess the infant's condition and provide appropriate interventions. Prompt communication with the healthcare provider ensures timely evaluation and management of the infant's discomfort or distress, promoting optimal postoperative recovery and comfort.
Which drink choice on a hot day indicates to the healthcare provider that a teenager with sickle cell anemia understands dietary considerations related to the disease?
- A. Milkshake
- B. Iced tea
- C. Diet cola
- D. Lemonade
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
When should oral hygiene practices start for an infant according to the American Dental Association guidelines?
- A. There is no need to begin until after all of the child's baby teeth are in.
- B. You don't have to worry about that until your child can handle a toothbrush.
- C. You can begin now using toothpaste on a gauze pad and wiping the gums.
- D. Begin wiping the teeth with a washcloth and water when the first tooth appears.
Correct Answer: D
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.
A mother brings her 3-week-old infant to the clinic because the baby vomits after eating and always seems hungry. Further assessment indicates that the infant's vomiting is projectile, and the child seems listless. Which additional assessment finding indicates the possibility of a life-threatening complication?
- A. Irregular palpable pulse
- B. Hyperactive bowel sounds
- C. Underweight for age
- D. Crying without tears
Correct Answer: D
Rationale: In this scenario, the infant presenting with vomiting, lethargy, and projectile vomiting indicates a potential serious condition. Crying without tears is a sign of dehydration, a critical condition that can lead to life-threatening complications in infants. Dehydration can rapidly worsen an infant's condition, making prompt intervention crucial to prevent further complications.
When reinforcing information about the use of corticosteroids in treating asthma in children, which statement indicates that the parent understands the teaching?
- A. My child should take the medication only when experiencing symptoms.
- B. I will rinse my child's mouth after each use of the inhaler.
- C. I should discontinue the medication if my child seems better.
- D. Corticosteroids are used for quick relief during an asthma attack.
Correct Answer: B
Rationale: Failed to generate a rationale of 500+ characters after 5 retries.