A nurse is contributing to the plan of care for a school-age child who has sickle-cell disease and is experiencing a vaso-occlusive crisis. Which of the following should the nurse recommend to include in the plan of care?

Limit ﬂuid intake during the evening

Perform passive range-of-motion exercises.

Apply cold compresses to painful areas.

Provide a low-protein diet

Answer and Explanation

The Correct Answer is B

b. Perform passive range-of-motion exercises.

During a vaso-occlusive crisis in sickle-cell disease, blood ﬂow to certain areas of the body may be restricted, leading to pain and tissue damage. Passive range-of-motion exercises can help promote blood circulation and prevent joint stiﬀness and further complications. These exercises involve gently moving the child's joints through their full range of motion without active participation from the child.

Explanation for the other options:

a. Limit ﬂuid intake during the evening: Fluid intake is important in sickle-cell disease to prevent dehydration and maintain adequate blood ﬂow. Restricting ﬂuid intake during a vaso-occlusive crisis can further contribute to dehydration and may worsen the crisis. It is important to encourage ﬂuid intake unless otherwise instructed by the healthcare provider.

c. Apply cold compresses to painful areas: Cold compresses are not recommended during a vaso-occlusive crisis in sickle-cell disease. Cold temperatures can cause vasoconstriction and further worsen the blood ﬂow to aﬀected areas, leading to increased pain and tissue damage. Warm compresses or warm packs may be used to promote vasodilation and provide pain relief.

d. Provide a low-protein diet: A low-protein diet is not specifically indicated in the plan of care for a vaso- occlusive crisis in sickle-cell disease. Adequate protein intake is important for overall nutritional needs and tissue repair. The focus of nutritional management in sickle-cell disease is usually on a well-balanced diet that includes adequate hydration and appropriate nutrient intake.

In summary, performing passive range-of-motion exercises is an appropriate intervention to include in the

plan of care for a school-age child experiencing a vaso-occlusive crisis in sickle-cell disease.

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Correct Answer is C

Explanation

c. Veracity

The nurse is exhibiting the ethical concept of veracity by providing the client with truthful and accurate information about the purpose of the medication. Veracity refers to the obligation to tell the truth and provide information in an honest and transparent manner.

Explanation for the other options:

a .Accountability: Accountability refers to taking responsibility for one's actions and being answerable for the outcomes. While accountability is an important ethical concept for healthcare professionals, it is not directly demonstrated in this situation.

b. Autonomy: Autonomy refers to respecting an individual's right to make their own decisions and choices regarding their healthcare. While the nurse is providing information to the client, autonomy is not directly demonstrated in this situation.

d. Fidelity: Fidelity refers to being faithful and keeping promises or commitments made to clients. While

fidelity is an important ethical concept, it is not directly demonstrated in this situation.

e. Justice: Justice refers to fairness and the equitable distribution of healthcare resources. While justice is an important ethical concept, it is not directly demonstrated in this situation.

In this scenario, the nurse's action of providing truthful information to the client aligns with the ethical

concept of veracity.

A. "I'll position the crib in front of the window." B. "I'll hang some toys across the crib rails." C. "I will keep the door to the bathroom closed." D. "I'll set my hot water heater at 140 degrees Fahrenheit."

Correct Answer is C

No explanation

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A nurse is contributing to the plan of care for a school-age child who has sickle-cell disease and is experiencing a vaso-occlusive crisis. Which of the following should the nurse recommend to include in the plan of care?

Nursing Test Bank

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