Author Question: What therapeutic intervention is most appropriate for a child with -thalassemia major? a. Oxygen ... (Read 46 times)

Frost2351 · **on:** Jun 28, 2018

What therapeutic intervention is most appropriate for a child with -thalassemia major?

a. Oxygen therapy
b. Supplemental iron
c. Adequate hydration
d. Frequent blood transfusions

Question 2

A child with sickle cell anemia (SCA) develops severe chest and back pain, fever, a cough, and dyspnea. What should be the first action by the nurse?

a. Administer 100 oxygen to relieve hypoxia.
b. Notify the practitioner because chest syndrome is suspected.
c. Infuse intravenous antibiotics as soon as cultures are obtained.
d. Give ordered pain medication to relieve symptoms of pain episode.

stallen · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: D
The goal of medical management is to maintain sufficient hemoglobin (>9.5 g/dl) to prevent bone marrow expansion. This is achieved through a long-term transfusion program. Oxygen therapy and adequate hydration are not beneficial in the overall management of thalassemia. The child does not require supplemental iron. Iron overload is a problem because of frequent blood transfusions, decreased production of hemoglobin, and increased absorption from the gastrointestinal tract.

Answer to Question 2

ANS: B
These are the symptoms of chest syndrome, which is a medical emergency. Notifying the practitioner is the priority action. Oxygen may be indicated; however, it does not reverse the sickling that has occurred. Antibiotics are not indicated initially. Pain medications may be required, but evaluation by the practitioner is the priority.