A child has been admitted with acute Sickle Cell crisis. During ...

[MirandaLo]

A child has been admitted with acute Sickle Cell crisis. During the assessment, the nurse would expect to see all of the following except:
 
  1. Swollen joints.
   2. Jaundice in the eyes.
   3. An enlarged liver.
   4. Severe pain in the abdomen.

Question 2

When administering medication to children and adolescents, it is important for the nurse to remember:
 
  1. Most medications have been tested on adults, not children, so there could be side effects that are not known with a medication.
   2. Medication should only be given in pill form for a child.
   3. Children should only take less than the prescribed amount of antibiotics for safety.
   4. Adolescents understand medication warnings best if written.

[xMRAZ]

Answer to Question 1

3
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1. Swollen joints occur because of the ischemia and inflammatory response.
2. Jaundice occurs because of the lack of blood flow to the liver.
3. The liver does not enlarge.
4. Severe abdominal pain occurs because of the lack of oxygen carried to the tissue.

Answer to Question 2

1
Feedback
1. The metabolism of children is different than adults, thus the nurse should watch for signs and symptoms of the side effects closer.
2. Medication may be given in a variety of forms for children to consume.
3. The fully prescribed amount of medication should be taken.
4. Adolescents understand the medication better if discussed.