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. Nightmares are common in children and may not be directly related to the brain tumor. While they should be addressed, they are not the priority in this case.

B. Hyperactivity can be a normal behavior in preschoolers. It may or may not be related to the brain tumor. Other symptoms should take precedence.

C. Pruritus (itching) is a common symptom that can have various causes, and it may not be directly related to the brain tumor. It should be addressed but is not the priority in this case.

D. Correct. Diplopia (double vision) can be a neurological symptom associated with increased

intracranial pressure or other complications related to a brain tumor. It is important to report this finding promptly to the provider for further evaluation and intervention.

A. Supine B. Semi-Fowler's C. Lateral D. Prone

Correct Answer is C

Explanation

A. Placing the child in a supine position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.

B. A semi-Fowler's position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.

C. Correct. Placing the child in a lateral position allows for better access to the spinal canal, which is necessary for a lumbar puncture.

D. Placing the child in a prone position is not the appropriate position for a lumbar puncture. The child should be in a lateral position.

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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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a preschooler who has a brain tumor. Which of the following findings is the priority for the nurse to report to the provider?

Correct Answer is D

Explanation

A nurse is preparing a child for a lumbar puncture. In which of the following positions should the child be placed for the procedure?

Correct Answer is C

Explanation

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