An adolescent experiencing a vaso-occlusive crisis reports right knee pain. Which is the most appropriate intervention?
Applying a warm soak to the knee
Administering Acetaminophen
Apply a compression wrap to the right leg
Decreasing the amount of intravenous fluids
The Correct Answer is B
A. Applying a warm soak to the knee: Heat application is generally not recommended during a vaso-occlusive crisis because it can worsen inflammation and pain.
B. Administering Acetaminophen.
Vaso-occlusive crises are a common complication of sickle cell disease, and they can lead to severe pain. Acetaminophen (Tylenol) is an appropriate choice for pain management in this situation. It is a non-steroidal anti-inflammatory drug (NSAID) that can help alleviate pain.Pain control is the priority in these situations.
C. Compression wraps can potentially exacerbate ischemia and increase the risk of complications.
D. Adequate hydration is essential during a crisis to prevent further sickling of red blood cells. Reducing fluids could exacerbate the condition
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Introducing new foods every day does not allow sufficient time to monitor for adverse reactions.
B. Waiting 8 to 10 days between introducing new foods is a longer interval than typically recommended. It may unnecessarily delay the introduction of a variety of foods to the infant's diet.
C. 5 to 7 days.
When introducing new foods to an infant, it's important to do so gradually to monitor for any potential allergic reactions or sensitivities. Waiting 5 to 7 days between introducing new foods allows for observation of any adverse reactions, such as allergies or digestive issues. This approach helps in identifying the specific food responsible for any adverse reactions and ensures the infant's safety.
D. Waiting 2 to 3 days is too short of an interval to adequately monitor for adverse reactions. Waiting 5 to 7 days provides a better balance between introducing new foods and monitoring for potential issues.
Correct Answer is C
Explanation
A. Demonstrating independent dressing is usually not expected at 18 months. Toddlers are still developing fine motor skills and may need assistance with dressing.
B. Using a vocabulary of 300 words is advanced for an 18-month-old. At this age, most children have a more limited vocabulary, typically around 50 words or so.
C. Jump with both feet.
At 18 months of age, children are usually developing their motor skills, including gross motor skills like walking, running, and jumping. Jumping with both feet is an age-appropriate milestone for a toddler of this age.
D. Walking upstairs with one hand held is typically not expected at 18 months. This is a skill that develops later as toddlers gain more confidence in their mobility and coordination.
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