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    Ati lpn paediatrics proctored exam cohort 65
    Select All That Apply

    A nurse is contributing to the plan of care for an adolescent client. Exhibits Which of the following actions should the nurse identify as part of the plan of care?

    Explanation & Rationale

    A. Provide oxygen at 6 L/min via nasal cannula: Oxygen is only used if the patient has hypoxemia (O2 saturation below 92%), which is not indicated in this scenario. B. Perform passive ROM exercises: Not appropriate during a sickle cell crisis due to the risk of exacerbating pain. C. Administer IV fluids: Essential to reduce blood viscosity and prevent further sickling. D. Obtain consent for a blood transfusion: Necessary in severe anemia (e.g., hemoglobin of 5 g/dL). E. Restrict fluid intake to 1,400 mL/day: Fluid restriction is contraindicated; hydration is key to management. F. Administer meperidine IV: Meperidine is generally avoided due to the risk of neurotoxicity; other opioids (e.g., morphine) are preferred. G. Encourage bedrest: Reduces oxygen demand during a crisis.

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