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 B
Explanation
A. Keeping a written document of the treatment plan is essential for ensuring continuity of care and effective communication with healthcare providers.
B. Parents should notify their provider immediately, rather than waiting for the next business day, if their child has a sore throat, as this could indicate a possible infection in an immunocompromised child.
C. Using acetaminophen is generally appropriate for managing pain or fever in children receiving chemotherapy, but it should be done with caution regarding dosage and timing.
D. Maintaining a written list of medical appointments helps keep track of the child’s care and is a good practice for managing their health.
Correct Answer is B
Explanation
A. Antibiotics are not routinely indicated for acute glomerulonephritis unless there is an underlying infection; the condition is often related to an immune response.
B. Monitoring weight is crucial in acute glomerulonephritis to assess for fluid retention and manage edema effectively.
C. Fluid intake may need to be restricted to manage hypertension and edema, so encouraging increased intake is not appropriate.
D. While ambulation is important for general health, it is not a primary intervention for managing acute glomerulonephritis.
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