a nurse is caring for a child who has sickle cell anemia and is experiencing a vaso occlusive crisis which of the following actions should the nurse t
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ATI RN

ATI Pediatric Proctored Exam

1. During a vaso-occlusive crisis in sickle cell anemia, what action is crucial for a nurse to take?

Correct answer: D

Rationale: During a vaso-occlusive crisis in sickle cell anemia, maintaining bed rest is crucial to reduce oxygen consumption and alleviate pain. Movement can worsen the crisis by increasing sickling of red blood cells, leading to further tissue damage and pain. Bed rest helps to improve blood flow, reduce pain, and promote healing. Administering meperidine for pain (Choice A) is not recommended due to the risk of normeperidine accumulation and potential neurotoxicity. Applying cold compresses (Choice B) may cause vasoconstriction, worsening the vaso-occlusive crisis. Limiting fluid intake (Choice C) is not appropriate as adequate hydration is essential to prevent dehydration and maintain blood flow.

2. A caregiver is teaching a parent of a child with a new prescription for ferrous sulfate tablets. Which of the following instructions should the caregiver include in the teaching?

Correct answer: D

Rationale: It is important for the caregiver to instruct the parent to brush the child's teeth after administering ferrous sulfate to prevent staining of the teeth. Iron in ferrous sulfate can cause teeth discoloration, so brushing the child's teeth after taking the medication helps prevent this side effect.

3. A nurse is teaching a group of parents about preventing childhood obesity. Which of the following instructions should the nurse include?

Correct answer: D

Rationale: The nurse should instruct parents to limit their child�s TV watching to 1 to 2 hours per day to prevent childhood obesity.

4. The nurse plans to closely monitor for which clinical manifestation after administering furosemide (Lasix)?

Correct answer: C

Rationale: High-ceiling diuretics, such as furosemide, are the most effective diuretic agents. They produce more loss of fluid and electrolytes than any others. A sudden loss of fluid can result in decreased BP. When BP drops, the pulse will probably increase rather than decrease.

5. A newborn's parents are being taught about ways to prevent sudden infant death syndrome (SIDS). Which of the following instructions should be included?

Correct answer: D

Rationale: The correct instruction to prevent SIDS is to give the infant a pacifier at bedtime. The use of a pacifier while the infant is sleeping is associated with a decreased risk of SIDS. Placing the infant on their back to sleep is recommended to prevent SIDS, not in a prone position (Choice A). Allowing the infant to sleep on a large pillow (Choice B) is dangerous and increases the risk of SIDS. Using a soft mattress in the infant's crib (Choice C) is also a risk factor for SIDS, so it should be avoided. Additionally, soft bedding or pillows should be avoided to reduce the risk of SIDS.

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