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 C

Explanation

A. Herpes simplex virus can cause genital herpes, but it typically does not lead to pelvic inflammatory disease. Pelvic inflammatory disease is more commonly associated with untreated chlamydia or gonorrhea infections.
B. Syphilis during pregnancy can lead to various complications such as stillbirth, neonatal death, or congenital syphilis in the newborn, but low birth weight is not a typical complication.
C. Human papillomavirus (HPV) infection is a known risk factor for the development of cervical cancer. Certain high-risk strains of HPV can lead to precancerous changes in cervical cells,
which, if left untreated, may progress to cervical cancer.
D. Meningitis is not a typical complication of chlamydia in males. In males, untreated chlamydia can lead to complications such as epididymitis or infertility.

A. Too few red blood cells B. Leukocytosis C. Too few white blood cells D. Too few platelets

Correct Answer is C

Explanation

A. Too few red blood cells is termed "anemia."
B. Leukocytosis refers to an abnormally high number of white blood cells.
C. Leukopenia is a condition characterized by a decreased number of white blood cells in the blood.
D. Too few platelets is known as "thrombocytopenia."

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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 manager in a health clinic is discussing complications associated with sexually transmitted infections (STIs) with a newly licensed nurse. Which of the following statements should be included in the discussion?

Correct Answer is C

Explanation

The term "Leukopenia" is the medical term for which of the following?

Correct Answer is C

Explanation

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