A child with sickle-cell disease is being admitted with splenic ...

[ereecah]

A child with sickle-cell disease is being admitted with splenic sequestration crisis. Which of the following rooms would be most appropriate to assign this child to?
 
  1. Semi-private room
   2. Reverse-isolation room
   3. Contact-isolation room
   4. Private room

Question 2

A six-year-old postoperative patient IV has infiltrated and has to be restarted immediately for medication. There is no time for placing local anesthetic cream on the skin.
 
  What other complementary therapies would be most helpful when placing this IV? 1. Restraints
  2. Moderate sedation
  3. Anesthesia
  4. Distraction

[otokexnaru]

Answer to Question 1

4
Rationale:
1. The child should not be exposed to other children with potentially infectious illnesses, so a semi-private room is not appropriate.
2. Reverse isolation is not necessary.
3. The child is not contagious, and contact isolation is not necessary.
4. Splenic sequestration can be life-threatening, and there is profound anemia. The child should not be placed in a room with any child who might have an infectious illness. A private room is appropriate for this child.

Answer to Question 2

4
Rationale 1: Restraints are used only as a last resort and are not appropriate for an IV start.
Rationale 2: Moderate sedation has its own side effects and possible complications and should not be used for quick procedures.
Rationale 3: Drugs may not be used for quick procedures, such as a dressing change or an unexpected intravenous insertion, injection, or venipuncture.
Rationale 4: Complementary therapiesespecially guided imagery, relaxation techniques, and distractioncan reduce the anxiety associated with the anticipation of the procedure.
Global Rationale:

[ereecah]

Gracias!

[yeungji]

Excellent