A 16-year-old is admitted with sickle cell crisis. The patient has a pain scale rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4°F. Select all the appropriate nursing interventions for this patient at this time?

Remove restrictive clothing or objects from the patient

Administer IV Morphine per MD order

Administer oxygen per MD order

Place on NPO

Start intravenous fluids per MD order

Keep patient on bed rest

Answer and Explanation

Correct Answer : A,B,C,D,E,F

A.   Remove restrictive clothing or objects from the patient: This helps to promote comfort and improve circulation.
B.   Administer IV Morphine per MD order: Morphine is a common medication used to manage severe pain associated with sickle cell crisis.
C.   Administer oxygen per MD order: Oxygen may be needed to improve oxygen saturation and support respiratory function, especially if the patient is hypoxic.
D.   Place on NPO: This is appropriate in case the patient needs any procedures or interventions that require fasting.
E.   Start intravenous fluids per MD order: Intravenous fluids help to hydrate the patient and improve blood flow, which can help alleviate symptoms of sickle cell crisis.
F. Keep patient on bed rest: Bed rest is important to conserve energy and minimize the risk of further complications during a sickle cell crisis.

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Correct Answer is D

Explanation

A. "Conscious sedation will be administered to you prior to the procedure." Needle aspiration breast biopsies typically use local anesthesia, not conscious sedation.
B. "The results of the biopsy will be immediately available." Biopsy results usually take a few days to be processed and reviewed.
C. "You may place a heating pad on the breast to relieve discomfort following the procedure." Applying a cold pack, rather than a heating pad, is generally recommended to reduce swelling and bruising.
D. "You should wear a well-fitting bra to minimize bruising following the procedure." Wearing a well-fitting bra can provide support and help minimize bruising and discomfort after the
procedure.

A. Schilling test B. Erythrocyte Indices C. Bone Marrow Biopsy D. Radiologic Studies

Correct Answer is A

Explanation

A. Schilling test. The symptoms described are suggestive of pernicious anemia, which is typically diagnosed through a Schilling test to assess vitamin B12 absorption.
B. Erythrocyte Indices. Erythrocyte indices are used to evaluate various aspects of red blood cell characteristics and are not specific to diagnosing pernicious anemia.
C. Bone Marrow Biopsy. While bone marrow biopsy may be used to diagnose certain types of anemia, it is not the primary diagnostic test for pernicious anemia.
D. Radiologic Studies. Radiologic studies are not typically used in the diagnosis of pernicious anemia.

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A 16-year-old is admitted with sickle cell crisis. The patient has a pain scale rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4°F. Select all the appropriate nursing interventions for this patient at this time?

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Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching to a client who is to undergo a breast biopsy by needle aspiration. Which of the following statements should the nurse make?

Correct Answer is D

Explanation

The patient, age 28, is admitted with complaints of nausea, sore tongue, tingling of the hands, and difficulty swallowing. Upon examination, her tongue is erythematous. What diagnostic procedure will support this diagnosis?

Correct Answer is A

Explanation

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