A child who has -thalassemia is receiving numerous blood ...

[LCritchfi]

A child who has -thalassemia is receiving numerous blood transfusions. The child also is receiving deferoxamine (Desferal) therapy. The parents ask how the deferoxamine will help their child.
 
  The nurse explains that the deferoxamine (Desferal) is given to: 1. Prevent blood transfusion reactions.
  2. Stimulate red blood cell production.
  3. Provide vitamin supplement.
  4. Prevent iron overload.

Question 2

When a nonreassuring pattern of the fetal heart rate is noted and the mother is lying on her left side, what nursing action is indicated?
 
  a. Lower the head of the bed.
  b. Place the mother in a Trendelenburg position.
  c. Change her position to the right side.
  d. Place a wedge under the left hip.

[jackie]

Answer to Question 1

4
Rationale:
1. Deferoxamine (Desferal) does not prevent blood transfusion reactions.
2. Deferoxamine (Desferal) does not stimulate red blood cell production.
3. Deferoxamine (Desferal) does not provide vitamin supplementation.
4. Iron overload can be a side effect of a hypertransfusion therapy. Deferoxamine (Desferal) is an iron-chelating drug that binds excess iron so that it can be excreted by the kidneys.

Answer to Question 2

C
Feedback
A Repositioning to the opposite side is the first intervention. If unsuccessful with
improving the FHR pattern, further changes in position can be attempted.
B The Trendelenburg position is not appropriate for early interventions. If
unsuccessful with improving the FHR pattern with other types of position
changes, Trendelenburg may be the choice.
C Repositioning on the opposite side may relieve compression on the umbilical
cord and improve blood flow to the placenta.
D The woman is already on her left side, so a wedge on that side is not an
appropriate choice.