A school-age child is admitted in vaso-occlusive sickle cell crisis. The child's care should include which intervention? (Select all that apply.).

Correction of acidosis.

Adequate hydration.

Pain management.

Administration of heparin.

Replacement of factor VIII.

Answer and Explanation

Correct Answer : B,C,E

Choice A rationale:
Correction of acidosis is not the primary intervention for vaso-occlusive sickle cell crisis. The crisis primarily involves pain due to the obstruction of blood flow by sickled cells. Correcting acidosis is not a direct treatment for this condition.
Choice B rationale:
Adequate hydration is essential in managing vaso-occlusive sickle cell crisis. Proper hydration helps prevent dehydration, which can worsen the crisis and lead to complications. Hydration helps maintain blood flow and prevent further sickling of red blood cells.
Choice C rationale:
Pain management is a crucial intervention for a child with vaso-occlusive sickle cell crisis. Pain results from tissue ischemia caused by sickled red blood cells. Effective pain management, often with analgesics, helps improve the child's comfort and quality of life during the crisis.
Choice D rationale:
Administration of heparin is not indicated for vaso-occlusive sickle cell crisis. Heparin is an anticoagulant that prevents blood clot formation. In sickle cell crisis, the primary issue is the obstruction of blood flow by sickled cells, not the formation of clots. Administering heparin may not address the underlying problem and can lead to potential complications.
Choice E rationale:
Replacement of factor VIII is not relevant to vaso-occlusive sickle cell crisis. Factor VIII is a protein involved in blood clotting and is primarily used in the treatment of hemophilia, a different condition unrelated to sickle cell crisis.

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Correct Answer is D

Explanation

Choice A rationale:
Explaining how SIDS could have been predicted and prevented might not be appropriate immediately after the loss, as it can come across as insensitive. The focus should be on providing emotional support to the grieving family.
Choice B rationale:
While it's essential to gather information about the circumstances surrounding the infant's death, conducting an in-depth interview immediately might be overwhelming for the parents. Sensitivity and timing are crucial in approaching this aspect of the situation.
Choice C rationale:
Discouraging parents from making a last visit with the infant is highly inappropriate and insensitive. Parents should be allowed to have their final moments with their children and say their goodbyes in a way that brings them comfort and closure.
Choice D rationale:
Making a follow-up home visit to parents as soon as possible after the infant's death is a crucial nursing responsibility. This visit provides an opportunity to offer emotional support, answer any questions the parents might have, and connect them with appropriate resources for coping with their loss. It demonstrates the nurse's ongoing commitment to the family's well-being during this challenging time.

A. "Surfactant improves the ability of your baby's lungs to exchange oxygen and carbon dioxide.". B. "The drug keeps your baby from requiring too much sedation.". C. "Surfactant is used to reduce episodes of periodic apnea.". D. "Your baby needs this medication to fight a possible respiratory tract infection.".

Correct Answer is A

Explanation

Choice A rationale:

The correct answer. Surfactant is a substance that decreases surface tension in the alveoli of the lungs, preventing them from collapsing and sticking together. By improving the ability of the baby's lungs to exchange oxygen and carbon dioxide, surfactant therapy helps the infant breathe more effectively.

Choice B rationale:

Surfactant therapy is not related to sedation. Its primary function is to assist with lung function, not sedation.

Choice C rationale:

Surfactant therapy does not specifically address apnea. Its main purpose is to enhance the respiratory function of premature infants.

Choice D rationale:

Surfactant therapy is not used to fight respiratory tract infections. It is a treatment focused on improving the respiratory distress syndrome in premature infants.

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A school-age child is admitted in vaso-occlusive sickle cell crisis. The child's care should include which intervention? (Select all that apply.).

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

What is an important nursing responsibility when dealing with a family experiencing the loss of an infant from sudden infant death syndrome (SIDS)?

Correct Answer is D

Explanation

A premature infant with respiratory distress syndrome receives artificial surfactant.How would the nurse explain surfactant therapy to the parents?

Correct Answer is A

Explanation

A newborn is jaundiced and receiving phototherapy via ultraviolet bank lights.An appropriate nursing intervention when caring for an infant with hyperbilirubinemia and receiving phototherapy by this method would be to:.

During a prenatal intake interview, the nurse is in the process of obtaining an initial assessment of a 21-year-old Hispanic patient with limited English proficiency.It is important for the nurse to:.

A school-age child is admitted in vaso-occlusive sickle cell crisis. The child's care should include which intervention? (Select all that apply.).

Which description of a stool is characteristic of intussusception?

The nurse should teach a pregnant woman that which substances are teratogens? (Select all that apply.).

The nurse observes some children in the playroom. Which play situation exhibits the characteristics of parallel play?

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