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 A

Explanation

A. This statement demonstrates an understanding of a helpful strategy for managing encopresis. Having the child try to defecate 15 minutes after each meal can take advantage of the body's natural reflexes and increase the likelihood of regular bowel movements.

B. Limiting fluid intake is not a recommended strategy for managing encopresis.
Maintaining proper hydration is important for overall health.

C. Having the child sit on the toilet for extended periods of time may lead to frustration and aversion to toilet training. It is not a recommended approach.

D. Increasing dairy intake is not a specific strategy for managing encopresis. In fact, some dairy products can contribute to constipation in some individuals. A balanced diet with an appropriate amount of fiber is important for bowel regularity.

A. "Allow your child to watch an animated movie right before bedtime." B. "Avoid allowing your child to sleep in your bed." C. "Wake your child up during the night terror." D. "Wait until your child indicates that he is tired before putting him to bed."

Correct Answer is B

Explanation

A. Allowing the child to watch an animated movie right before bedtime can be stimulating and may not be conducive to a calm and restful sleep environment.

B. This is correct. Allowing the child to sleep in the parent's bed may reinforce the night terrors. It's important for the child to learn to self-soothe and feel secure in their own sleeping environment.

C. It is not recommended to wake a child during a night terror. This can be disorienting and may not be effective in preventing future night terrors.

D. Waiting until the child indicates tiredness before putting them to bed may result in over-tiredness, which can sometimes contribute to night terrors. Establishing a consistent bedtime routine can be beneficial.

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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

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