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

Answer and Explanation

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

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Correct Answer is D

Explanation

A.Pyloric stenosis is a condition where there's narrowing of the opening between the stomach and the small intestine. It is not related to inadequate motility of the intestine.

B.Enterocolitis refers to inflammation of the small intestine and colon. While this can cause obstruction in some cases, it's not the primary cause of inadequate motility as seen in the question.

C.Encopresis is the voluntary or involuntary passage of feces outside the toilet in children who should be toilet trained. It is not a cause of mechanical intestinal obstruction.

D. Hirschsprung's disease is a congenital disorder where there is inadequate motility in part of the intestine, leading to mechanical obstruction. It usually affects the colon and is due to the absence of ganglion cells in the affected segment of the bowel.

So, Hirschsprung's disease is the specific condition that leads to inadequate motility and mechanical obstruction of part of the intestine in infants.

A. Prevent ear infections B. Establish feeding and sucking C. Repair the cleft palate D. Help the mother bond with the baby

Correct Answer is B

Explanation

A. Prevent ear infections: While individuals with cleft palates are at increased risk of ear infections, the primary immediate goal is not ear infection prevention.

B. Establish feeding and sucking.

Clefts of the soft palate can make it challenging for the baby to create a proper seal for sucking and feeding. Ensuring that the baby can feed effectively is a crucial initial goal. This may involve special nipples, bottles, or breastfeeding techniques to help the baby get proper nutrition.

While eventually repairing the cleft palate is an important part of the overall care plan, the immediate goal is to ensure that the baby can feed and gain weight properly.

C. Repair the cleft palate: Surgical repair of the cleft palate is typically done when the child is older. The immediate concern for a newborn is feeding.

D. Help the mother bond with the baby: This is an important aspect of care but not the primary goal for the baby's health and well-being. Bonding can occur while addressing the baby's feeding needs.

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An adolescent experiencing a vaso-occlusive crisis reports right knee pain. Which is the most appropriate intervention?

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Naxlex Comprehensive Predictor Exams

A nurse is caring for an infant who has inadequate motility of part of the intestine resulting in a mechanical obstruction. The nurse should identify this finding as a manifestation of which of the following disorders?

Correct Answer is D

Explanation

Which is the primary goal for a newborn with a cleft of the soft palate?

Correct Answer is B

Explanation

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