Author Question: The nurse reporting on duty is assigned to care for a child with a diagnosis of sickle cell anemia. ... (Read 193 times)

cagreen833 · **on:** Jun 27, 2018

The nurse reporting on duty is assigned to care for a child with a diagnosis of sickle cell anemia.

In the report the nurse hears that this child is clock watching in regard to pain medication and sometimes asks for pain medication before it is time. The nurse suspects which of the following as the most likely cause of the child's behavior in regard to pain medication? a. The child is drug addicted.
b. The child is on the way to being drug addicted.
c. The child's pain is undermedicated.
d. The child is over-medicated and needs to be weaned downward.

Question 2

The caregivers ask the nurse how to deal with questions of sexuality. Which of the following suggestions would the nurse most likely stress?

a. Give as detailed an explanation as you can about the subject.
b. Before explaining anything, find out what the child really wants to know.
c. Tell the child before he or she finds out from the television or movies.
d. Talk to your child with one of his or her friends present.

jonathanballen97 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

C

Feedback
A Incorrect. Hearing the child with sickle cell anemia is clock watching, the nurse will not suspect that the child is drug addicted.
B Incorrect. Hearing the child with sickle cell anemia is clock watching, the nurse will not suspect that the child is on the way to being drug addicted.
C Correct. Children experiencing sickle cell crisis are often undermedicated, resulting in clock watching and requests for additional doses occurring sooner than prescribed.
D Incorrect. Hearing the child with sickle cell anemia is clock watching, the nurse will not suspect that the child is over-medicated and needs to be weaned downward.

Answer to Question 2

B

Feedback
A Incorrect: In response to caregivers' questions about how to discuss sexuality with their child, the nurse would not most likely stress giving as detailed an explanation as possible.
B Correct: The caregivers need to clarify what the child really wants to know before beginning detailed explanations.
C Incorrect: In response to caregivers' questions about how to discuss sexuality with their child, the nurse would not most likely stress telling the child before he or she finds out from the television or movies.
D Incorrect: In response to caregivers' questions about how to discuss sexuality with their child, the nurse would not most likely stress talking to their child with one of his or her friends present.