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A nurse is collecting data from a child who has sickle cell anemia and is experiencing a vaso- occlusive crisis. Which of the following findings should the nurse expect?

Tinnitus

Pruritus

Polyuria

Abdominal pain

Answer and Explanation

The Correct Answer is D

Choice A reason:

Tinnitus (ringing in the ears) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.

Choice B reason:

Pruritus (itching) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.

Choice C reason:

Polyuria (excessive urination) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.

Choice D reason:

Abdominal pain is a common symptom of a vaso-occlusive crisis in sickle cell anemia. This pain is due to the obstruction of blood flow in the small vessels of the abdomen, leading to tissue

ischemia and pain.

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Correct Answer is A

Explanation

Choice A reason:

Using four words in a sentence is an appropriate developmental milestone for a 3-year-old child. By this age, children typically have a vocabulary that allows them to form short sentences and express themselves.

Choice B reason:

Tying shoelaces is a fine motor skill that is typically developed later, around 5-6 years of age.

Choice C reason:

Skipping on alternate feet is a gross motor skill that is typically developed around 4-5 years of age.

Choice D reason:

Naming the days of the week is a cognitive skill that is typically developed later, around 5-6 years of age. It involves not only memory but also an understanding of the concept of days and their order.

A. Wrap the extremity loosely with an elastic bandage. B. Apply warm compresses to the extremity. C. Elevate the extremity above the level of the heart. D. Encourage active range of motion of the extremity.

Correct Answer is C

Explanation

Choice A reason:

Wrapping the extremity loosely with an elastic bandage may provide support but is not specifically aimed at reducing swelling.

Choice B reason:

Applying warm compresses can be beneficial for some types of injuries, but for a sprained wrist, cold compresses are more effective in reducing swelling.

Choice C reason:

This statement is correct. Elevating the extremity above the level of the heart helps to reduce swelling by promoting venous return and reducing blood flow to the affected area.

Choice D reason:

Encouraging active range of motion may be important for rehabilitation, but it is not the initial intervention for minimizing swelling in the first 12 to 24 hours after a sprain.

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A nurse is collecting data from a child who has sickle cell anemia and is experiencing a vaso- occlusive crisis. Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a 3-year-old child. Which of the following developmental milestones should the nurse expect the child to demonstrate?

Correct Answer is A

Explanation

A nurse is reinforcing teaching with a parent of a child who has a sprained wrist. Which of the following interventions should the nurse instruct the parent to implement during the first 12 to 24 hr to minimize swelling?

Correct Answer is C

Explanation

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