« previous next »

Author Question: The parents of an 8-year-old child with sickle cell anemia call the clinic to report that the child ... (Read 94 times)

FButt

  • Hero Member
  • *****
  • Posts: 519
on: Jun 28, 2018
The parents of an 8-year-old child with sickle cell anemia call the clinic to report that the child developed chest pain after playing soccer. What advice from the nurse is most appropriate?
 
  A.
  Go to the nearest emergency department.
  B.
  Have him rest and take Tylenol (acetaminophen).
  C.
  If he doesn't improve, bring him in to the clinic.
  D.
  Try a warm pack on his chest for 10 minutes.

Question 2

A teenager is hospitalized with sickle cell disease and vaso-occlusive crisis. What pain medication regimen does the nurse assist the patient with?
 
  A.
  Acetaminophen (children's Tylenol)
  B.
  Ketorolac (Toradol) orally
  C.
  Meperidine (Demerol), given intravenously
  D.
  PCA pump with morphine (Duramorph)


whitcassie

  • Sr. Member
  • ****
  • Posts: 298
Reply #1 on: Jun 28, 2018
Answer to Question 1

ANS: A
In sickle cell disease, the abnormally shaped RBCs are sticky and adhere to the blood vessel walls, creating obstructions to circulation. This creates the potential for tissue ischemia and death. The child could be having a heart attack and needs immediate evaluation.

Answer to Question 2

ANS: D
A teenager is able to manage his or her own pain control, so a PCA pump is ideal. Morphine is often considered the drug of choice in sickle cell crises. Tylenol would be ineffective for pain this severe. Demerol is avoided due to its side effects. Toradol is a good choice; however, it is given parenterally for severe, acute pain.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question

FButt

  • Hero Member
  • *****
  • Posts: 519
Reply #2 on: Jun 28, 2018
Thank you :)


whitcassie

  • Sr. Member
  • ****
  • Posts: 298
Reply #3 on: Jun 28, 2018
Happy to help you


« previous next »
 

Did you know?

Most strokes are caused when blood clots move to a blood vessel in the brain and block blood flow to that area. Thrombolytic therapy can be used to dissolve the clot quickly. If given within 3 hours of the first stroke symptoms, this therapy can help limit stroke damage and disability.

Did you know?

Approximately one in three babies in the United States is now delivered by cesarean section. The number of cesarean sections in the United States has risen 46% since 1996.

Did you know?

More than 2,500 barbiturates have been synthesized. At the height of their popularity, about 50 were marketed for human use.

Did you know?

Pope Sylvester II tried to introduce Arabic numbers into Europe between the years 999 and 1003, but their use did not catch on for a few more centuries, and Roman numerals continued to be the primary number system.

Did you know?

Fatal fungal infections may be able to resist newer antifungal drugs. Globally, fungal infections are often fatal due to the lack of access to multiple antifungals, which may be required to be utilized in combination. Single antifungals may not be enough to stop a fungal infection from causing the death of a patient.

Hydrocephalus. The figure on the left is a child with the enlarged ventricles of hydrocephalus. The Hydrocephalus. The figure on the left is a child with the enlarged ventricles of hydrocephalus. The
cell membrane cell membrane
Nanotechnology in Fuel Cell Schematic of a hydrogen gas tank for a car Nanotechnology in Fuel Cell Schematic of a hydrogen gas tank for a car
Developing Child, The Developing Child, The
Reproductive Cell Division: Meiosis I Reproductive Cell Division: Meiosis I
A cervical cancer cell A cervical cancer cell
Video: HDL (high density lipoprotein)

For a complete list of videos, visit our video library