Answers
1. In a patient with sickle cell disease who has acute B
ischemic pain and swollen hands and feet, which crisis
is present?
A. Acute sequestration
B. Vaso-occlusive
C. Aplastic
D. Acute chest syndrome
2. In a pediatric patient with sickle cell disease, which B
intervention is appropriate for managing acute pain
during an abrupt onset of vaso-occlusive crisis?
A. Provide comfort measures, such as ice pack applica-
tion to the axilla.
B. Expect to administer opioid analgesics.
C. Restrict analgesics to oral nonsteroidal anti-inflam-
matory drugs.
D. Administer hydroxyurea (Hydrea), as prescribed.
3. For a pediatric patient with impetigo on the upper lip, B
the nurse teaches the patient and caregivers not to
touch the wound. Which other instruction is appropri-
ate?
A. Rinse daily with a 10 percent chlorine bleach solu-
tion.
B. Apply topical antibiotic ointment.
C. Restrict the child from school or daycare until all the
lesions have resolved.
D. Expect to administer hydroxyurea (Hydrea) while
, the lesions are present.For a pediatric patient with im-