Parents of a 5-year-old with Sickle Cell disease are asking about ...

[abarnes]

Parents of a 5-year-old with Sickle Cell disease are asking about care during their child's painful episodes. The nurse knows that the pain of Sickle Cell disease is caused by:
 
  1. The lack of iron in the body.
   2. The hypoxia that happens to the tissue, causing ischemia.
   3. The red blood cell destruction.
   4. A buildup of oxygen in the body.

Question 2

During an assessment, the nurse notes Russell's sign on a 15-year-old girl. The nurse should:
 
  1. Report this to the doctor because of possible eating disorder issues.
   2. Do nothing. This is a normal sign of development in girls.
   3. Document the lacerations and speak to the parents.
   4. Ask the teen if she is being abused.

[scikid]

Answer to Question 1

2
Feedback
1. The lack of oxygen is the causative agent for pain.
2. The ischemia causes the painful episodes.
3. Red blood cells are malformation with this disease, not destroyed.
4. The transport of oxygen to the tissue causes the painful episodes.

Answer to Question 2

1
Feedback
1. A positive Russell's sign is a strong indication of an eating disorder.
2. The Russell's sign gives indication of the need for medical and psychiatric intervention.
3. Documentation is needed, along with medical intervention.
4. The teen may not be forthright with information, and the doctor needs to be notified.

[abarnes]

Excellent

[coreycathey]

Thanks for the timely response, appreciate it