A nurse is contributing to the plan of care for a child who has sickle cell crisis. Which of the following actions should the nurse recommend to include?

Apply cold compresses to the affected areas.

Implement pain management on a PRN basis.

Active range-of-motion (ROM) exercises daily.

Promote hydration with IV and oral fluids.

Answer and Explanation

The Correct Answer is D

A. Apply cold compresses to the affected areas. Cold can cause vasoconstriction, which may worsen the sickling and pain. Heat packs are generally recommended to promote circulation and relieve pain.
B. Implement pain management on a PRN basis. Pain management should be consistent and proactive rather than PRN (as needed). Regular pain control is essential in managing sickle cell crises.
C. Active range-of-motion (ROM) exercises daily. During a crisis, the child should rest and avoid physical activity to prevent further pain and complications. ROM exercises are more appropriate during non-crisis times for maintaining joint function.
D. Promote hydration with IV and oral fluids. Hydration is crucial during a sickle cell crisis as it helps to decrease blood viscosity, reducing the risk of further sickling and vaso-occlusive events.

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Free Nursing Study Resources

Correct Answer is A

Explanation

A. Rehydrate. Rehydration is critical in managing severe diarrhea to prevent dehydration and electrolyte imbalance, which can be life-threatening.
B. Assess fluid balance. Assessing fluid balance is important but comes after initiating rehydration to ensure ongoing monitoring and adjustment of the fluid therapy.
C. Maintain fluid therapy. Maintaining fluid therapy is essential but should follow the initial step of rehydration.
D. Introduce a regular diet. Introducing a regular diet should only be considered after the child's fluid and electrolyte balance is restored.

Correct Answer is "{\"xRanges\":[31.782945736434108,39.53488372093023],\"yRanges\":[54.36507936507937,58.33333333333333]}"

Explanation

Draw an imaginary line connecting the ASIS to the umbilicus.

McBurney's point is located one-third of the distance along this line, starting from the ASIS and moving towards the umbilicus.

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A nurse is contributing to the plan of care for a child who has sickle cell crisis. Which of the following actions should the nurse recommend to include?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning care for a child who has severe diarrhea. Which of the following actions is the nurse's priority?

Correct Answer is A

Explanation

A nurse collecting data from a client who has manifestations of appendicitis. Where should the nurse palpate to monitor for pain at McBurney's point? (You will find hot spots to select in the artwork below. Select only the hot spot that corresponds to your answer.)

Correct Answer is "{\"xRanges\":[31.782945736434108,39.53488372093023],\"yRanges\":[54.36507936507937,58.33333333333333]}"

Explanation

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