The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso- occlosive crisis which prescription documented in the child's chart should the nurse question?
Position for comfort
Restrict fluid intake
Avoid strain on painful joints
Apply nasal oxygen at 2 L/minute
The Correct Answer is B
A. Positioning for comfort is a common intervention during a vaso-occlusive crisis to alleviate pain.
B. Restricting fluid intake is contraindicated in vaso-occlusive crisis; hydration is crucial to help reduce sickling and improve circulation.
C. Avoiding strain on painful joints is appropriate to prevent exacerbating pain and potential damage.
D. Applying nasal oxygen at 2 liters may be indicated to ensure adequate oxygenation, especially if the child is experiencing any respiratory distress.
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Related Questions
Correct Answer is C
Explanation
A. Soccer is a contact sport with a high risk of injury, which is not suitable for a child with hemophilia.
B. Gymnastics can also pose risks of falls and injuries that are not advisable for children with bleeding disorders.
C. Swimming is generally considered safe for children with hemophilia as it is a non-contact activity and does not involve high risk of injury.
D. Football is a contact sport and carries a high risk of trauma, making it unsafe for children with hemophilia.
Correct Answer is D
Explanation
A. Constipation can occur but is not a direct symptom of sickle cell crisis; it’s more related to hydration and diet.
B. High fever may occur due to infection, but it is not a guaranteed finding in every sickle cell crisis.
C. Bradycardia is not typically associated with sickle cell crisis; tachycardia is more common due to pain and stress.
D. Pain is the hallmark symptom of a sickle cell crisis due to vaso-occlusive episodes leading to ischemia and tissue damage.
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