A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take

Apply warm compresses to the affected areas.

Decrease the child's fluid intake.

Administer furosemide IV twice per day.

Initiate contact precautions.

Answer and Explanation

The Correct Answer is A

A. Applying warm compresses can help to improve blood flow and relieve pain in areas affected by a sickle cell crisis. This is a beneficial intervention.

B. Decreasing fluid intake is not recommended. Maintaining hydration is important in the management of sickle cell disease, as it helps to prevent dehydration and reduces the risk of sickling.

C. Furosemide is a diuretic and is not typically used in the treatment of a sickle cell crisis.
It is not an appropriate intervention in this situation.

D. Contact precautions are not necessary for a sickle cell crisis. This crisis is not a contagious condition. Standard precautions for infection control should be followed.

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Correct Answer is D

Explanation

A. Bilateral cool extremities can be common after a cardiac catheterization due to transient vasoconstriction but is not necessarily an immediate concern if perfusion remains adequate.
B. Blood pressure of 102/58 mm Hg is within the normal range for a toddler and does not require reporting.
C. Serum glucose of 90 mg/dL is within normal limits for a toddler and does not indicate a complication.
D. Weak pedal pulse distal to the site should be reported because it may indicate arterial occlusion or compromised circulation following the procedure. While pulses may initially be weak due to swelling, they should not be absent or significantly diminished over time.

A. Upper respiratory infection 2 days ago B. Allergy to neomycin C. Temperature of 37.2° C (99° F) D. Family history of seizures

Correct Answer is B

Explanation

A. An upper respiratory infection 2 days ago is not a contraindication for the MMR vaccine. The vaccine can be administered once the child has recovered from the acute illness.

B. Correct. An allergy to neomycin, which is an antibiotic, is a contraindication for

receiving the MMR vaccine. Neomycin is present in trace amounts in the MMR vaccine, and individuals with a severe allergy to this antibiotic should not receive the vaccine.

C. A temperature of 37.2° C (99° F) is a low-grade fever and is not a contraindication for the MMR vaccine. Mild illness without fever is not a contraindication.

D. A family history of seizures is not a contraindication for the MMR vaccine. The vaccine can be safely administered to children with a family history of seizures.

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A nurse is caring for a school-age child who is experiencing a sickle cell crisis. Which of the following actions should the nurse take

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Naxlex Comprehensive Predictor Exams

A nurse is assessing a toddler who is 8 hr postoperative following a cardiac catheterization procedure. Which of the following findings should the nurse report to the provider?

Correct Answer is D

Explanation

A nurse is reviewing the medical record of a 15-month-old child who is scheduled to receive the measles, mumps, and rubella (MMR) vaccine. Which of the following findings should the nurse identify as a contraindication for receiving this vaccine?

Correct Answer is B

Explanation

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