Certified Pediatric Hematology Oncology Nurse (CPHON) Practice Exam 2025 - Free CPHON Practice Questions and Study Guide

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Which nursing intervention is critical during monitoring for Acute Chest Syndrome?

Administering IV fluids

Frequent evaluation of respiratory status

Frequent evaluation of respiratory status is crucial during the monitoring for Acute Chest Syndrome because this condition is characterized by new pulmonary infiltrates, chest pain, fever, and respiratory distress, particularly in patients with sickle cell disease. Early identification of respiratory complications is key to preventing further deterioration in the patient's condition.

Assessing the respiratory status allows healthcare providers to monitor vital signs such as oxygen saturation, respiratory rate, and the presence of wheezing or crackles. Regular evaluation can help in promptly identifying any changes that might indicate worsening lung function or the onset of respiratory failure, which are serious concerns in Acute Chest Syndrome.

By closely monitoring the respiratory status, nurses can intervene more effectively, by providing supplemental oxygen, initiating additional breathing treatments, or supporting the patient's respiratory needs, which enhances the overall management of this potentially life-threatening condition.

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Encouraging a high-fat diet

Limiting patient mobility

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