Author Question: The nurse is caring for a child with thalassemia who is receiving chelation therapy at home using a ... (Read 41 times)

anshika · **on:** Jun 28, 2018

The nurse is caring for a child with thalassemia who is receiving chelation therapy at home using a battery-operated pump. After teaching the parents about this treatment, which statement by the mother indicates a need for additional teaching?

A) I can have the nurse administer the chelation therapy if I am uncomfortable.
B) I must be very careful to strictly adhere to the chelation regimen.
C) The deferoxamine binds to the iron so it can be removed from the body.
D) The medication can be administered while my child is sleeping.

Question 2

The nurse is caring for a child who has been admitted for a sickle cell crisis. What would the nurse do first to provide adequate pain management?

A) Administer a nonsteroidal anti-inflammatory drug (NSAID) as ordered.
B) Use guided imagery and therapeutic touch.
C) Administer meperidine as ordered.
D) Initiate pain assessment with a standardized pain scale.

Qarqy · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

Ans: A
The nurse needs to emphasize to the mother that therapy must be maintained at home to continuously decrease the iron levels in the child's body. Family members need to be taught to administer deferoxamine subcutaneously with a small battery-powered infusion pump over a several-hour period each night (usually while the child is sleeping).

Answer to Question 2

Ans: D
The nurse should first initiate pain assessment with a standardized pain scale upon admission and provide frequent evaluations of pain. Administering NSAIDs or meperidine and the use of nonpharmacologic pain management techniques are all appropriate. However, the first action is to assess the child's pain to provide a baseline for future comparison.