The nurse is providing care for an adolescent client who is ...

[eruditmonkey@yahoo.com]

The nurse is providing care for an adolescent client who is experiencing pain related to a sickle cell crisis. Which medication does the nurse prepare to administer to this client?
 
  1. Morphine sulfate
  2. Meperidine
  3. Acetaminophen
  4. Ibuprofen

Question 2

The nurse is evaluating the activity tolerance of a 9-month-old with iron deficiency anemia. Which finding indicates that the infant is not tolerating activity?
 
  1. Heart rate of 138
  2. Increased alertness
  3. Respiratory rate less than 40 with activity
  4. Muscle weakness

[tjayeee]

Answer to Question 1

Correct Answer: 1
Rationale: The pain during a sickling crisis is severe, and morphine is needed for pain control around the clock or by patient-controlled analgesia (PCA). Meperidine is not used for pain control for clients with sickle cell pain crisis because it could cause seizures. Acetaminophen or ibuprofen is used for mild pain and would not be effective for the severe pain experienced by a child in sickle cell pain crisis.

Answer to Question 2

Correct Answer: 4
Rationale: Iron deficiency anemia can result in less oxygen reaching the cells and tissues, causing activity intolerance. An indication that a 9-month-old child is not tolerating activity and that iron deficiency anemia is worsening would be the presence of muscle weakness during activity. A heart rate of 138, increased alertness, and a respiratory rate of less than 40 with activity are all signs that iron deficiency anemia is resolving and activity tolerance is improving.

[eruditmonkey@yahoo.com]

Thank you

[tjayeee]

No problemo