A nurse is planning care for a child who is experiencing a sickle cell crisis.
Which of the following interventions should the nurse include in the plan of care?

Administer meperidine as needed for plan

Initiate bed rest

Limit fluid intake

Apply cold compresses to affected joints

Answer and Explanation

The Correct Answer is B

Choice A rationale

Meperidine is not the first choice for pain management in sickle cell crisis due to its potential to cause seizures and other side effects.

Choice B rationale

Bed rest is recommended during a sickle cell crisis to decrease the body’s demand for oxygen, reduce the workload of the heart, and improve blood flow.

Choice C rationale

Limiting fluid intake is not recommended during a sickle cell crisis. Adequate hydration is important to prevent further sickling of cells and to maintain kidney function.

Choice D rationale

Cold compresses can cause vasoconstriction and may exacerbate the crisis. Warm compresses are usually recommended to increase blood flow and reduce pain.

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Correct Answer is D

Explanation

During early adolescence, children often experience mood swings. This is due to the hormonal changes that occur during this stage of development.

A. Jacket B. Mitten C. Mummy D. Elbow

Correct Answer is C

Explanation

Choice A rationale

Jacket restraints are typically used to secure a child’s arms during procedures. They are not specifically designed for venipuncture in infants.

Choice Drationale

Elbow restraints are used to secure the child’s elbows, often during procedures involving the upper body. They are not typically used for venipuncture.

Choice Brationale

Mitten restraints are used to prevent the child from scratching or removing tubes. They are not typically used for venipuncture.

Choice Crationale

Mummy restraints are often used for infants during procedures like venipuncture. They allow the child to be wrapped securely while leaving one area exposed for the procedure.

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A nurse is planning care for a child who is experiencing a sickle cell crisis.Which of the following interventions should the nurse include in the plan of care?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching about growth and development to a parent of a 12-year-old child. The nurse should instruct the parent to expect the child to exhibit which of the following characteristics during early adolescence.

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A nurse is planning care for a child who is experiencing a sickle cell crisis.
Which of the following interventions should the nurse include in the plan of care?