Difficulty: Medium
Average Score: 82%
Simulated
Passage / Scenario
The following scenario applies to the next 1 itemsThe nurse in the emergency department (ED) is caring for a 12-year-old client.
Item 1 of 1
History And Physical
Orders
Vital Signs
A 12-year-old male with sickle cell anemia presents with his father with generalized pain that worsened overnight. The client stated his pain is in his knees and ankles. His knees and ankles had a full range of motion on exam and were tender to the touch. Slight swelling in the ankles and knees was observed. The client states that the pain hurts a lot, and he has difficulty sleeping because of the pain. He rates his pain as a '7' on a scale from 0-10. The father denies any recent illnesses or any strenuous activity. The child's vaccines are current, and he takes no medication daily.
The nurse is implementing care for this client
Click to specify if each nursing action is appropriate or not appropriate for a 12-year-old client with sickle cell anemia presenting with generalized pain: E. Apply cold compresses to the ankle and knees
Correct answer
B
Rationale
Cold compresses may worsen vaso-occlusion; warm compresses are preferred.