img-download-app
img-download-app

A child with sickle cell anemia has ineffective tissue perfusion related to generalized infarcts. Which of the following interventions should the nurse prioritized in her plan of care?

Explanation

•The patient is having a vaso-occlusive crisis. The nurse should imediately take action to increase perfusion and oxygenation to the affected extremities. Administering oxygen, I.V. fluids, and blood products are the nurses top priority.

•A vaso-occlusive crisis is caused by sickle-shaped red blood cells that occlude capillaries and prevent blood flow, causing ischemia.

•Pain medications are important to relieve the intense pain associated with a vaso-occlusive crisis, however, this is not as important as perfusion and oxygenation.

•The patient should be positioned with the extremities extended to promote venous return. Bed rest is important to minimize oxygen demands of the body.

Visit our website for other NCLEX topics now!
Related questions
A 16-year-old diagnosed with exercise induced asthma has been prescribed albuterol. The nurse should instruct the patient to use his inhaler:
A 5-year-old is admitted to the hospital with DKA. To prevent cardiac arrhythmias, which lab result should the nurse be particularly aware of?
A 9-year-old boy is rushed to the emergency room after falling from his bicycle. While assessing the child, the nurse should observe the extremities closely for which of the following signs and symptoms of a fracture?
A patient with cystic fibrosis is prescribed pancreatin. The nurse explains to the patient that this medication:
The nurse is assessing a child with a high grade fever. The child's mother tells the nurse that she will dress her child warmly if she has a fever and chills. Which of the following is a correct response from the nurse?
A frantic father presents to the emergency room holding a limp child bleeding from the head. The nurse takes them back to the treatment room. What should the nurse do next?
A 6-month-old infant with hydrocephalus is admitted to the hospital due to an enlarged head circumference, bulging fontanelles, and sunset eyes. What is the priority nursing care?
The nurse is caring for a teenager recently diagnosed with celiac disease. When providing discharge instructions, the nurse should tell the patient to avoid:
When providing patient education to a patient prescribed to clindamycin - benzoyl peroxide gel, the nurse should include which of the following side effects?
A 3-year-old is admitted to the hospital suspected of having congenital heart disease. Which of the following assessment findings is most likely to be seen?
The mother of a 2-year-old girl tells the emergency room nurse that she found the child playing with an empty bottle of aspirin and that there were pieces of aspirin in her mouth. The nurse should observe the child for symptoms of salicylate poisoning, which include?
The mother of a 3-year-old expresses frustration due to her daughter's refusal to follow her directions. The nurse explains that this behavior is normal for her age as she is trying to meet which developmental need?
A patient with thrombocytopenia is prescribed desmopressin  to promote the release of von Willebrand factor. The nurse assesses the patient for which of the following effects of desmopressin?
A woman with HIV recently gave birth to a baby boy. She asked the nurse why her baby is infected. Which of the follow can be a reason for transmission from the mother to the child?
A 6-year-old girl is brought to the emergency department by her parents. The child appeared pale, dyspnic, edematous, pulse of 115 bpm, respirations of 38, and oxygen saturation of 80. Apical heart rate displaced down and laterally. Lungs have harsh rhonchi and rales on auscultation. A diagnosis of Congestive heart failure is made. What is the first priority intervention the nurse should do?
After a child comes to the emergency room with aspirin overdose, the nurse should take which of following priority actions?
The nurse is assessing an 8-year-old boy suspected of having Rocky Mountain spotted fever. Which of the following signs and symptoms would the nurse expect to find?
Which of the following defects refers to the incomplete closure of the umbilical ring, resulting in the protrusion of the omentum and intestine through the opening?
The nurse is assessing a 4-year-old complaining of a fever, chills, headache, and malaise with firm and tender cervical lymph nodes. What laboratory test is used to confirm the diagnosis of infectious mononucleosis?
To ensure optimum care for a patient with acute glomerulonephritis, the nurse's priority intervention should include:
A 5-year-old with H.I.V. is planning to begin school in the fall. His parents informed the nurse that they do not plan on telling the school about their son's H.I.V. status. Which of the follow responses by the nurse is most appropriate?
A nurse is caring for a child that has been hospitalized multiple times for leukemia. After observing the child using several coping mechanisms, the nurse designs a plan of care that includes:
A nurse is making her plan of care for a patient with an atrial septal defect. Upon assessment, the nurse expected to find:
While assessing a newborn, the nurse suspects the presence of phenylketonuria. Which of the follow tests would confirm the diagnosis?
A 7-year-old African American boy complains of fever, swelling of hands and feet and yellow sclera. He is diagnosed with sickle cell disease. The extent of tissue damage found in children with sickle disease results from which of the following?
A 7-year-old with cerebral palsy is hospitalized for complications. Before discharge, the patient's mother expresses concern over the child's ability to use utensils while eating. Which of the following people should be consulted to assist in patient care and education?
The nurse is caring for a patient with an autistic disorder. Upon assessment the nurse records that the child has a labile mood. Which of the following symptoms suggest a labile mood?
A patient has been prescribed pancrelipase due to pancreatic insufficiency. The nurse should instruct the patient:
A 9-year-old male is diagnosed with Wilm's tumor. Which of the following would the nurse expect to note as the most common symptom?