A 10-year old is admitted to the Emergency Room in a sickle cell crisis. Put the interventions in order by priority.
All options must be used.

Administer oxygen.

Start IV fluids.

Administer pain medication.

Draw lab work.

Answer and Explanation

Correct Answer : A,B,C,D

A. Administer oxygen. This is the first priority because oxygen can help prevent further sickling of red blood cells and improve tissue perfusion.

B. Start IV fluids. This is the second priority because hydration can reduce blood viscosity and prevent vaso-occlusion.

C. Administer pain medication. This is the third priority because pain is a common and distressing symptom of sickle cell crisis and should be treated with opioids around the clock.

D. Draw lab work. This is the last priority because lab work can help monitor the severity of the crisis and the need for blood transfusions, but it does not directly relieve the patient’s symptoms or prevent complications.

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Correct Answer is D

Explanation

A back massage is a type of cutaneous stimulation that can help reduce pain by activating the gate control theory of pain. Cutaneous stimulation is a non-pharmacological intervention that can be delegated to unlicensed assistive personnel (UAP) or nursing assistive personnel (NAP) under the supervision of a registered nurse.

Choice A is wrong because assessing pain status requires critical thinking and clinical judgment, which are skills that only registered nurses have. Pain assessment is not a task that can be delegated to UAP/NAP.

Choice B is wrong because administering a placebo is a type of pharmacological intervention that involves giving a substance that has no therapeutic effect. Placebos are unethical and ineffective for pain management and should not be used by any health care provider.

Choice C is wrong because reviewing a pain diary involves evaluating the patient’s response to pain interventions and adjusting the plan of care accordingly. This is a complex task that requires nursing knowledge and skills and cannot be delegated to UAP/NAP.

A. TMS requires anesthesia prior to administration. B. TMS requires a muscle relaxing medication prior to administration. C. TMS requires the patient to lay flat in bed during administration. D. TMS requires daily treatments for 4 to 6 weeks.

Correct Answer is D

Explanation

TMS requires daily treatments for 4 to 6 weeks. This is because TMS is a noninvasive procedure that uses magnetic fields to stimulate nerve cells in the brain to improve symptoms of depression. TMS is typically used when other depression treatments haven’t been effective. The treatment can last 30 to 60 minutes and is done 5 days a week for about 4 to 6 weeks.

Choice A is wrong because TMS does not require anesthesia prior to administration. The procedure is done without using surgery or cutting the skin and the patient is awake throughout the treatment.

Choice B is wrong because TMS does not require a muscle-relaxing medication prior to administration. The procedure does not cause muscle contractions or spasms and the patient can resume normal activities after the treatment.

Choice C is wrong because TMS does not require the patient to lay flat in bed during administration. The procedure is done in a comfortable chair and the patient can drive themselves home after the treatment.

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A 10-year old is admitted to the Emergency Room in a sickle cell crisis. Put the interventions in order by priority. All options must be used.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is attempting to use non-pharmacological treatment for pain control. Which treatment could the nurse delegate to the UAP?

Correct Answer is D

Explanation

A nurse should include which statement when instructing a client about Transcranial Magnetic Stimulation (TMS).

Correct Answer is D

Explanation

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A 10-year old is admitted to the Emergency Room in a sickle cell crisis. Put the interventions in order by priority.
All options must be used.