Which complication(s) should the nurse observe for during ...

[CBme]

Which complication(s) should the nurse observe for during administration of Factor VIII to a child with hemophilia?
 
  1. Congestive heart failure
   2. Fever and chills
   3. Nausea and vomiting
   4. Fat emboli

Question 2

During discharge teaching to parents of a child hospitalized with sickle-cell crisis, the nurse should emphasize which of the following as a priority home care intervention?
 
  1. Encouraging adequate hydration
   2. Promotion of a diet high in protein
   3. Restriction of activities
   4. Rapid weaning of pain medications

[jaaaaaaa]

Answer to Question 1

2
Rationale:
1. Factor VIII is not a large volume, and the child is not at risk for CHF.
2. Fever and chills are common symptoms of transfusion reactions, which can occur with the administration of any blood product. Factor VIII is a blood product.
3. Nausea and vomiting are not usually associated with a transfusion reaction.
4. Although the nurse can watch for the symptoms of emboli, the nurse cannot directly observe for fat emboli formation.

Answer to Question 2

1
Rationale:
1. Adequate hydration will help prevent further sequestration and crisis.
2. A high-protein diet is not necessary; a well balanced diet should be promoted.
3. Normal activities are not restricted.
4. Rapid weaning is not necessary; reduction of pain medication should proceed at a rate dictated by the child's pain.