What is the priority nursing intervention for a child in sickle cell crisis?

Give IV pain medication around the clock for pain control.

The child’s POC should include which of the following for vaso-occlusive sickle cell crisis.

Adequate hydration, pain management.

Which of the following S&S of sickle cell anemia experiences an acute vaso-occlusive crisis?

Painful swelling of hands and feet, painful joints.

Blood transfusion-child c/o chills, headache, & nausea. Which action is needed?

Stop the infusion immediately and notify the HCP.

The nurse should explain that narcotic analgesics for sickle cell anemia :

Rarely cause addiction because they are medically indicated.

What statement by the parents indicates a need for further instruction on iron administration ?

Call the doctor right away if black, tarry stool.

Mother gives ferrous sulfate, followed by 2 oz of orange juice. What should the nurse do next?

Give positive feedback about the way iron was administered.

What information should the nurse include in a teaching plan about home care for hemophilia?

Apply pressure, ice for bleeding, elevate & rest extremity.

Which information by the parents indicates understanding of the POC for sickle cell disease?

Plenty of fluids should be consumed daily.

Which of the following should the nurse do first for an 11-year-old in sickle cell crisis?

Begin I.V. fluids after obtaining the child's history.

Priority plan of care for a hospitalized child with von Willebrand disease.

Guard against bleeding injuries.

8-year-old with sickle cell anemia develops chest pain after playing soccer. Best response:

“Go to the nearest emergency department.”

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Hemoc Review PPT

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Hemoc Review PPT

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Questions 20

Answers

1
What is the priority nursing intervention for a child in sickle cell crisis?
Give IV pain medication around the clock for pain control.
Use narcotic meds & cold compresses prn for pain control.
Perform passive ROM on the arm and leg to maintain function.
Try acetaminophen for pain 1st, then opioids only if needed.
2
The child’s POC should include which of the following for vaso-occlusive sickle cell crisis.
Pain management, administration of heparin
Correction of acidosis, adequate hydration.
Adequate hydration, pain management.
Adequate oxygenation, replacement of factor VIII.
3
Children with lead poisoning usually exhibit:
irritability.
abdominal pain.
no apparent symptoms.
frequent vomiting.
4
Which of the following S&S of sickle cell anemia experiences an acute vaso-occlusive crisis?
Hepatomegaly, intrahepatic cholestasis
Cardiomegaly, systolic murmurs.
Painful swelling of hands and feet, painful joints.
Circulatory collapse.
5
Blood transfusion-child c/o chills, headache, & nausea. Which action is needed?
Stop the infusion immediately and notify the HCP.
Continue the transfusion & monitor the child's vital signs.
Start another IV of dextrose solution & stay with the child.
Slow the transfusion and assess for cessation of symptoms.
6
CDC’s blood lead level of concern has changed from 20 mcg/dl to 10 mcg/dl. True or False
False
True
7
Best drank choice for a sickle cell child on a hot day:
Iced tea.
Milkshake.
Lemonade.
Diet cola.
8
The nurse should explain that narcotic analgesics for sickle cell anemia :
Last resort because of the threat of addiction.
Rarely cause addiction because they are medically indicated.
Are often ordered but not usually needed.
Only if other measures, such as ice packs, are ineffective.
9
What statement by the parents indicates a need for further instruction on iron administration ?
Best if the iron is taken on an empty stomach or with OJ.
Have child drink the iron preparation through a straw.
Rinsing mouth after taking iron will prevent teeth staining.
Call the doctor right away if black, tarry stool.
10
Which of the following explains why iron-deficiency anemia is common during toddlerhood?
Milk is a poor source of iron.
Fetal iron stores are depleted by age 1 month.
Iron cannot be stored during fetal development.
Dietary iron cannot be started until age 12 months.
11
Mother gives ferrous sulfate, followed by 2 oz of orange juice. What should the nurse do next?
Tell mom to mix the iron drops with formula instead of OJ.
Suggest placing the iron drops in OJ and feed the infant.
Instruct mom not to feed infant for 30 mins after the iron.
Give positive feedback about the way iron was administered.
12
What does ‘dactylitis’ refer to?
Hand-foot syndrome.
Avascular necrosis of the joints.
Atypical pneumonia.
Prolonged painful erection.
13
What information should the nurse include in a teaching plan about home care for hemophilia?
Give low-dose chewable chld's aspirin for joint discomfort.
Use a firm & dry toothbrush to clean teeth bid.
Apply pressure, ice for bleeding, elevate & rest extremity.
Minimize interactive play to lessen chances for injury.
14
Which information by the parents indicates understanding of the POC for sickle cell disease?
Plenty of fluids should be consumed daily.
Immunizations should be delayed for a few years.
Protective equipment should be worn for contact sports.
Daily iron supplements should be given.
15
Which of the following should the nurse do first for an 11-year-old in sickle cell crisis?
Begin I.V. fluids after obtaining the child's history.
Administer oral pain med while obtaining the child's history
Start oxygen as soon as the child's vital signs are taken.
Tell parents what to expect during this hospitalization.
16
S & S: Enlarged liver & spleen & CBC reveals anemia. Which type of sickle cell crisis?
Vaso-occlusive.
Sequestration.
Hyperhemolytic.
Aplastic.
17
Priority plan of care for a hospitalized child with von Willebrand disease.
Eliminate contact sports..
Guard against bleeding injuries.
Reduce contact with sick children.
Reduce exposure to infection.
18
Which of the following will be abnormal in a child with hemophilia?
Partial thromboplastin time.
Platelet count.
White blood cell count.
Hemoglobin level.
19
Which technique should the nurse implement to engage the child to take liquid iron preparation?
Mix the medication in water.
Use a colorful straw.
Administer the medication using an oral syringe.
Ask the pharmacy to provide an enteric tablet.
20
8-year-old with sickle cell anemia develops chest pain after playing soccer. Best response:
“Have him rest and take Tylenol (acetaminophen).”
“Try a warm pack on his chest for 10 minutes.”
“Go to the nearest emergency department.”
“If he doesn’t improve, bring him in to the clinic.”

Hemoc Review PPT Flashcards | StudBud

Hemoc Review PPT

20 termsStudBud Administration327 plays

Hemoc Review PPT

Flashcards20 cardsFPractice quizPHost liveL

Questions 20

Answers

1
What is the priority nursing intervention for a child in sickle cell crisis?
Give IV pain medication around the clock for pain control.
Use narcotic meds & cold compresses prn for pain control.
Perform passive ROM on the arm and leg to maintain function.
Try acetaminophen for pain 1st, then opioids only if needed.
2
The child’s POC should include which of the following for vaso-occlusive sickle cell crisis.
Pain management, administration of heparin
Correction of acidosis, adequate hydration.
Adequate hydration, pain management.
Adequate oxygenation, replacement of factor VIII.
3
Children with lead poisoning usually exhibit:
irritability.
abdominal pain.
no apparent symptoms.
frequent vomiting.
4
Which of the following S&S of sickle cell anemia experiences an acute vaso-occlusive crisis?
Hepatomegaly, intrahepatic cholestasis
Cardiomegaly, systolic murmurs.
Painful swelling of hands and feet, painful joints.
Circulatory collapse.
5
Blood transfusion-child c/o chills, headache, & nausea. Which action is needed?
Stop the infusion immediately and notify the HCP.
Continue the transfusion & monitor the child's vital signs.
Start another IV of dextrose solution & stay with the child.
Slow the transfusion and assess for cessation of symptoms.
6
CDC’s blood lead level of concern has changed from 20 mcg/dl to 10 mcg/dl. True or False
False
True
7
Best drank choice for a sickle cell child on a hot day:
Iced tea.
Milkshake.
Lemonade.
Diet cola.
8
The nurse should explain that narcotic analgesics for sickle cell anemia :
Last resort because of the threat of addiction.
Rarely cause addiction because they are medically indicated.
Are often ordered but not usually needed.
Only if other measures, such as ice packs, are ineffective.
9
What statement by the parents indicates a need for further instruction on iron administration ?
Best if the iron is taken on an empty stomach or with OJ.
Have child drink the iron preparation through a straw.
Rinsing mouth after taking iron will prevent teeth staining.
Call the doctor right away if black, tarry stool.
10
Which of the following explains why iron-deficiency anemia is common during toddlerhood?
Milk is a poor source of iron.
Fetal iron stores are depleted by age 1 month.
Iron cannot be stored during fetal development.
Dietary iron cannot be started until age 12 months.
11
Mother gives ferrous sulfate, followed by 2 oz of orange juice. What should the nurse do next?
Tell mom to mix the iron drops with formula instead of OJ.
Suggest placing the iron drops in OJ and feed the infant.
Instruct mom not to feed infant for 30 mins after the iron.
Give positive feedback about the way iron was administered.
12
What does ‘dactylitis’ refer to?
Hand-foot syndrome.
Avascular necrosis of the joints.
Atypical pneumonia.
Prolonged painful erection.
13
What information should the nurse include in a teaching plan about home care for hemophilia?
Give low-dose chewable chld's aspirin for joint discomfort.
Use a firm & dry toothbrush to clean teeth bid.
Apply pressure, ice for bleeding, elevate & rest extremity.
Minimize interactive play to lessen chances for injury.
14
Which information by the parents indicates understanding of the POC for sickle cell disease?
Plenty of fluids should be consumed daily.
Immunizations should be delayed for a few years.
Protective equipment should be worn for contact sports.
Daily iron supplements should be given.
15
Which of the following should the nurse do first for an 11-year-old in sickle cell crisis?
Begin I.V. fluids after obtaining the child's history.
Administer oral pain med while obtaining the child's history
Start oxygen as soon as the child's vital signs are taken.
Tell parents what to expect during this hospitalization.
16
S & S: Enlarged liver & spleen & CBC reveals anemia. Which type of sickle cell crisis?
Vaso-occlusive.
Sequestration.
Hyperhemolytic.
Aplastic.
17
Priority plan of care for a hospitalized child with von Willebrand disease.
Eliminate contact sports..
Guard against bleeding injuries.
Reduce contact with sick children.
Reduce exposure to infection.
18
Which of the following will be abnormal in a child with hemophilia?
Partial thromboplastin time.
Platelet count.
White blood cell count.
Hemoglobin level.
19
Which technique should the nurse implement to engage the child to take liquid iron preparation?
Mix the medication in water.
Use a colorful straw.
Administer the medication using an oral syringe.
Ask the pharmacy to provide an enteric tablet.
20
8-year-old with sickle cell anemia develops chest pain after playing soccer. Best response:
“Have him rest and take Tylenol (acetaminophen).”
“Try a warm pack on his chest for 10 minutes.”
“Go to the nearest emergency department.”
“If he doesn’t improve, bring him in to the clinic.”