A nurse is assessing a child who is in sickle cell crisis. Which of the following findings should the nurse expect?
Pain
High fever
Bradycardia
Constipation
The Correct Answer is A
A. Pain. Pain is the hallmark symptom of a sickle cell crisis due to the vaso-occlusion of sickled red blood cells blocking blood flow and causing ischemia in various tissues and organs.
B. High fever. While fever can occur if there is an associated infection, it is not a primary feature of sickle cell crisis.
C. Bradycardia. Sickle cell crisis can cause tachycardia due to pain and stress, but not bradycardia.
D. Constipation. This is not a typical symptom associated with a sickle cell crisis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["0.3"]
Explanation
Convert weight from pounds to kilograms:
19pounds÷2.2=8.64kg
Calculate the total daily dose:
0.07mg/kg/day×8.64kg=0.6048mg/day
Divide the daily dose into two doses:
0.6048mg/day÷2=0.3024mg/dose
Round off the dose to two decimal places:
0.3024mg≈0.30mg
The maximum amount of medication per dose is 0.3 mg.
Correct Answer is D
Explanation
A. Assess motor function in lower extremities: While important for overall neurological assessment, immediate post-repair monitoring of motor function is secondary to monitoring for signs of hydrocephalus (head circumference).
B. Maintain skin integrity: Essential for preventing infection but does not address the immediate post-surgical complication of hydrocephalus.
C. Monitor intake and output: Important for general post-operative care but does not address the immediate concern of monitoring for hydrocephalus.
D. Monitor head circumference: Following repair of a myelomeningocele, infants are at risk for developing hydrocephalus due to abnormal cerebrospinal fluid dynamics. Monitoring head circumference helps detect early signs of increased intracranial pressure, a common complication post-surgery.
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