The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the healthcare provider immediately?

Swelling in the hands or feet.

Ulcers on the legs.

Chest pain.

Jaundice.

Answer and Explanation

The Correct Answer is C

The nurse should report chest pain to the healthcare provider immediately when caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Chest pain can be a sign of acute chest syndrome, a potentially life-threatening complication of sickle cell disease that requires prompt treatment.

Swelling in the hands or feet, ulcers on the legs, and jaundice are common symptoms of sickle cell disease and do not require immediate reporting to the healthcare provider.

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Correct Answer is A

Explanation

The nurse should prepare the mother for a sweat-chloride test to screen for cystic fibrosis (CF). A sweat- chloride test measures the amount of chloride in the sweat and is used to diagnose CF. CF is a genetic disorder that can cause the body to produce thick, sticky mucus that can clog the lungs and pancreas. One of the symptoms of CF is salty-tasting skin due to an increased amount of salt in the sweat. The other options (B, C, and D) are not standard diagnostic tests for screening for CF.

A. 6 months. B. 12 months. C. 24 months. D. 2 months.

Correct Answer is B

Explanation

The American Academy of Pediatrics (AAP) and the Centers for Disease Control and Prevention (CDC) recommend that the first dose of MMR vaccine be given at 12-15 months of age.

A. 6 months is too early for the MMR vaccine.

D. 2 months is also too early for the MMR vaccine.

C. 24 months is slightly beyond the recommended range for the first dose of MMR vaccine, which is given between 12-15 months of age.

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The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the healthcare provider immediately?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A mother brings her 2-month-old to the well-baby clinic. She states that when she kisses her baby, the infant's skin tastes salty. The nurse should prepare the mother for what standard diagnostic test to screen for cystic fibrosis (CF)?

Correct Answer is A

Explanation

The parent of an infant asks when the baby's first immunization for measles, mumps, and rubella (MMR) should be given. Which age should the nurse provide the parent?

Correct Answer is B

Explanation

When advising a new mother on caring for a child with croup, which symptom should be a priority concern for the telephone triage nurse?

The nurse is caring for a child with sickle cell disease who is experiencing a sickle cell crisis. Which finding should the nurse report to the healthcare provider immediately?

When developing a teaching plan for an adolescent male who was recently diagnosed with Type 1 diabetes mellitus, the nurse should instruct the client to eat a source of sugar if which symptom occurs?

The nurse is assessing a 2-week-old male infant in a community health clinic and notes that his sclera appear slightly yellow. Additionally, urine in his diaper appears tea-colored. This child should receive follow- up assessment for what condition?

A 6-year-old boy with bronchial asthma takes the beta-adrenergic agonist agent albuterol. The child's mother tells the nurse that she uses this medication to open his son's airway when he is having trouble breathing. What is the nurse's best response?

The nurse is caring for a toddler with autism spectrum disorder and failure to thrive. Which intervention should the nurse implement?

The nurse begins collecting the medical history of a child when the child screams and tries to hide behind the parent, dropping a stuﬀed toy. Which intervention should the nurse implement?

A mother brings her 3-month-old infant to the clinic because the baby does not sleep through the night. Which finding is most significant in planning care for this family?