A nurse is caring for a client who presents to the emergency room in sickle cell crisis. Which of the following medications should the nurse anticipate administering?

Laxatives

Thyroid replacement medications

Diuretics

Pain medications

Answer and Explanation

The Correct Answer is D

A. Laxatives are not typically used for sickle cell crisis unless the client is experiencing constipation, which is unrelated to the crisis itself.

B. Thyroid replacement medications are used for hypothyroidism and would not be a first-line treatment for sickle cell crisis.

C. Diuretics may be used in conditions like heart failure or kidney disease, but they are not indicated for sickle cell crisis and may worsen dehydration.

D. Pain medications are the correct intervention during a sickle cell crisis. The crisis involves severe pain due to the sickling of red blood cells blocking blood flow to tissues. Opioids like morphine and hydromorphone are commonly administered to manage the severe pain.

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Correct Answer is D

Explanation

A. Have blood work done is not the initial priority for assessing cognitive status in a child with a suspected head injury. Blood work may be ordered later to assess for any contributing factors but is not the first step in cognitive assessment.

B. Monitor intracranial pressure is important but typically comes after an initial cognitive assessment. Elevated intracranial pressure may be suspected after assessing cognitive function and other neurological signs.

C. Recommend a CT scan might be ordered by a healthcare provider to assess for structural brain damage, but the initial assessment of cognitive status should be done first to evaluate the severity of the injury.

D. Use the Glasgow cognitive scale is the correct initial action. The Glasgow Coma Scale (GCS) is used to assess a child's level of consciousness and cognitive function following a head injury. It helps determine the severity of the injury and guides further intervention.

A. Respiratory rate B. Blood pressure C. Body weight D. Skin integrity

Correct Answer is C

Explanation

A. Respiratory rate can be influenced by many factors, including fever or anxiety, and is not the most reliable indicator of fluid loss.

B. Blood pressure may change with severe dehydration, but it can be a late sign, and other factors (like shock) can also affect blood pressure, so it's not the most reliable early indicator.

C. Body weight is the most reliable and sensitive indicator of fluid loss, as even small changes in weight reflect changes in hydration status. Monitoring weight helps assess fluid loss accurately.

D. Skin integrity can be affected by dehydration, but it's not the most reliable indicator of fluid loss. It may take longer to show visible signs such as dry skin or poor turgor.

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A nurse is caring for a client who presents to the emergency room in sickle cell crisis. Which of the following medications should the nurse anticipate administering?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is assessing a child who has a suspected head injury. What would be the initial action the nurse should take to assess the child's cognitive status?

Correct Answer is D

Explanation

A nurse in an emergency department is caring for an infant who has a 2-day history of vomiting and an elevated temperature. Which of the following should the nurse recognize as the most reliable indicator of fluid loss?

Correct Answer is C

Explanation

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