Author Question: The nurse is presenting a class of important dos and don'ts during pregnancy, including travel ... (Read 33 times)

Tirant22 · **on:** Jun 27, 2018

The nurse is presenting a class of important dos and don'ts during pregnancy, including travel considerations. What method of travel does the nurse recommend as most appropriate for a patient in her 25th week of pregnancy?

1. Automobile
2. Airplane
3. Train
4. None; this patient should not travel.

Question 2

A child who has Beta-Thalassemia is receiving numerous blood transfusions. The child is also receiving deforaxamine (Desferal) therapy. The parents ask how the deforaxamine will help their child. The nurse explains that the deforaxamine is given to

1. prevent blood-transfusion reactions.
2. stimulate red-blood-cell production.
3. provide vitamin supplementation.
4. prevent iron overload.

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

Answer to Question 1

3
Rationale 1: If traveling by car, frequent stopping and walking for a few minutes would be acceptable.
Rationale 2: Plane travel is not the best, but if the patient gets up often on trip, walks, and does not cross her legs, it would work for short trips.
Rationale 3: In the latter half of pregnancy, frequent movement is recommended for pregnant women, both to increase comfort and to decrease venous pooling, which can lead to thrombophlebitis. The train allows the most movement for the traveling pregnant woman.
Rationale 4: Travel, in moderation is appropriate during the second half of pregnancy. It is best if the patient can move about periodically.

Answer to Question 2

Answer:4
Rationale:Iron overload can be a side effect of a hypertransfusion therapy. Deforaxamine (Desferal) is an iron-chelating drug,which binds excess iron so it can be excreted by the kidneys.It does not prevent blood-transfusion reactions, stimulate red-blood-cell production,or provide vitamin supplementation.