A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?

Kyphosis

Constipation

Enuresis

Facial twitching

Answer and Explanation

The Correct Answer is D

A)   Kyphosis, or curvature of the spine, is not typically an urgent concern in sickle cell anemia.
B)   Constipation can occur but is not typically an urgent complication.
C)   Enuresis, or bedwetting, may be a concern but is not typically an urgent complication.
D)   Facial twitching could indicate neurological involvement or a stroke, which is a serious complication of sickle cell anemia and requires immediate attention.

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Correct Answer is C

Explanation

Rationale:
A. Checking the newborn's eyes every 8 hours is not necessary for the management of hyperbilirubinemia or phototherapy.
B. Placing mittens on the newborn's hands is unrelated to the management of hyperbilirubinemia or phototherapy.
C. Monitoring the newborn's temperature every 2 hours is essential during phototherapy because infants are at risk of hypothermia due to increased heat loss from the lights.
D. Applying lotion to the newborn's skin is not recommended during phototherapy as it can interfere with the effectiveness of the lights.

A. Maintain extended eye contact. B. Establish a reward system. C. Engage in cooperative play. D. Hold the child during assessments.

Correct Answer is B

Explanation

Rationale:
A. Maintaining extended eye contact may be challenging for children with autism spectrum disorder, as they may have difficulty with social interaction and communication.
B. Establishing a reward system is beneficial for children with autism spectrum disorder as it provides positive reinforcement for desired behaviors, helping to encourage and maintain them.
C. Engaging in cooperative play might be difficult for a child with autism spectrum disorder due to challenges in social interaction and communication.

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A nurse is caring for a child who has sickle cell anemia. Which of the following findings is the priority for the nurse to report to the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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Correct Answer is B

Explanation

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