Reference no: EM133727029

Question

A nurse is caring for a 5-year-old child in the acute care setting. Medical History Vital Signs Nurses' Notes Medical History 5-year-old child who has sickle cell anemia is admitted for management of a vaso-occlusive crisis (VOC). The guardian reports the child has been experiencing joint pain and a low-grade fever for 3 days prior to admission. Guardian administered acetaminophen per provider's prescription. Initially the acetaminophen decreased the pain, but now the pain is worse, and the acetaminophen is no longer helping. Had a recent upper respiratory infection about 2 weeks prior to the start of the joint pain. Which of the following assessment findings require additional action by the nurse? Click to highlight the assessment findings which require additional action by the nurse? To deselect a finding, click on the finding again. 1600: Child remains in bed. Child uncooperative and agitated. Refusing PO fluids. Child reports chest pain and joint pain as a 4 on the Faces Scale. Nasal flaring and moderate subcostal and substernal retractions are noted. Bilateral, moderate inspiratory and expiratory wheezes noted upon auscultation. Voided 200 mL of clear yellow urine.