ATI Comprehensive Predictor Retake With Complete Solution Graded A

1. A nurse is caring for an 8-year-old child who ha sickle cell anemia and is recovering from a vaso-occlusive crisis. Which of the following precautions should the nurse include in the discharge teaching? a. drink eight glasses of fluid daily b. avoid playground activities at school c. maintain an updated haemophilus influenza type B immunization d. assume postural drainage positions every 6 hours - a. drink eight glasses of fluid daily (hydration decreases the viscosity of the blood. a decreased viscosity helps lower the risk for sickling as a result of venous stasis. 2. A nurse is caring for an adolescent who is having a sickle cell crisis. Which of the following nursing actions should the nurse take? a. withhold opioids to avoid dependence b. initiate a 2L/day fluid restriction c. encourage exercise d. assist with administering a blood transfusion - d. assist with administering a blood transfusion (an adolescent who is having a sickle cell crisis can receive a blood transfusion to treat anemia and to decrease the viscosity of the blood) 3. A nurse is collecting data from an infant who has a large patent ductus arteriosis. Which of the following is clinical manifestations should the nurse expect? a. cyanosis with crying b. machine-like murmur c. weak pulses d. chronic hypoxemia - b. machine-like murmur (a patent ductus arteriosis is the failure of the opening connecting the aorta and pulmonary artery to close after birth causing a left-to-right shunt. a machine-like murmur is a clinical manifestation found.) 4. A nurse is collecting data from a child who has sickle disease and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect? a. vomiting b. bradycardia c. pain d. constipation - c. pain (a client who is experiencing a vaso-oclusive crisis typically has severe pain resulting from tissue hypoxia and necrosis.) 5. A nurse is caring for an infant who has a congenital heart defect. Which of the following defects is associated with increased pulmonary blood flood? a. coarctation of the aorta ATI Comprehensive Predictor Retake With Complete Solution Graded A b. patent ductus arteriosus c. tetralogy of fallot d. tricuspid atresia - b. patent ductus arteriosus (the area between the pulmonary artery and aorta remains open, allowing blood to flow through the patent ductus arteriosus and back to the pulmonary artery and lungs)