The nurse is teaching parents how to prevent a sickle-cell crisis ...

[abarnes]

The nurse is teaching parents how to prevent a sickle-cell crisis in the child with sickle-cell disease. Which of the following are precipitating factors that could contribute to a sickle-cell crisis? Select all that apply.
 
  1. Fever
   2. Dehydration
   3. Regular exercise
   4. Altitude
   5. Increased fluid intake

Question 2

A hospitalized child has been diagnosed with SIADH (syndrome of inappropriate antidiuretic hormone), a complication of his meningitis. What would the nurse expect to see on this child's lab results?
 
  1. Hyponatremia
  2. Hypocalcemia
  3. Hyperglycemia
  4. Hypernatremia

[aburgess]

Answer to Question 1

1, 2, 4
Rationale:
1. Fever, dehydration, and altitude are all precipitating factors contributing to a sickle-cell crisis.
2. Fever, dehydration, and altitude are all precipitating factors contributing to a sickle-cell crisis.
3. Regular exercise and increased fluid intake are recommended activities for a child with sickle-cell disease, and will not contribute to a sickle-cell crisis.
4. Fever, dehydration, and altitude are all precipitating factors contributing to a sickle-cell crisis.
5. Regular exercise and increased fluid intake are recommended activities for a child with sickle-cell disease, and will not contribute to a sickle-cell crisis.

Answer to Question 2

1
Rationale 1: SIADH is associated with increased permeability in distal renal tubes, leading to water intoxication and low sodium.
Rationale 2: Hypocalcemia is not seen with SIADH.
Rationale 3: Hyperglycemia is not related to SIADH.
Rationale 4: Hypernatremia is seen with DI, not SIADH.
Global

[abarnes]

Thank you

[aburgess]

Happy to help you