The nurse provides care to a client who is admitted for a sickle cell disease (SCD) crisis. Which of the following is the priority prescription for the nurse to Implement when providing patient care?

Administering a bolus (250 ml) of Normal saline intravenous fluid

Administering oxygen

Administering pain medication

Administering antipyretics

Answer and Explanation

The Correct Answer is C

A.   While hydration is important to help with blood flow, pain management takes precedence during an SCD crisis.
B.   Oxygen may be necessary in certain cases but is not the priority in the acute pain crisis, where pain control is the primary concern.
C.   Pain management is the priority in sickle cell disease (SCD) crisis, as it helps alleviate the intense pain associated with vaso-occlusive events.
D.   Antipyretics are not the priority unless the child has a fever. Pain relief is more urgent during a crisis.

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Correct Answer is D

Explanation

A. Bradycardia is not a typical finding with PDA.
B. Cyanosis is more likely to occur with severe heart defects or in situations where there is a right-to-left shunt, which is not typical of PDA.
C. Weak pulses are not typical of PDA; instead, bounding pulses may be present.
D. A widened pulse pressure (a significant difference between systolic and diastolic blood pressure) is commonly seen in large PDA due to the continuous blood flow from the aorta to the pulmonary arteries.

A. Elevating the legs on a pillow B. Applying heat therapy to the casted area C. Removing the casts periodically for bathing D. Encouraging the infant to crawl and bear weight on the affected leg

Correct Answer is A

Explanation

A. Elevating the legs on a pillow helps reduce swelling and discomfort while the cast is healing.
B. Heat therapy should not be applied to the casted area, as it could cause skin irritation or burns.
C. Casts should not be removed for bathing unless specifically ordered by the provider.
D. Encouraging the infant to crawl or bear weight on the affected leg is not appropriate until the cast is removed and healing is complete.

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The nurse provides care to a client who is admitted for a sickle cell disease (SCD) crisis. Which of the following is the priority prescription for the nurse to Implement when providing patient care?

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