When the 14-year-old African American boy comes into the ...

[JGIBBSON]

When the 14-year-old African American boy comes into the emergency room in sickle cell crisis, what should be the primary focus of care?
 
  a. Instruct patient about transfusion procedure
  b. Starting of IV fluids
  c. Pain control
  d. Relief of dyspnea

Question 2

When instructing the patient taking an oral liquid iron preparation, what should the nurse include?
 
  a. Information relative to taking the iron with milk
  b. Information relative to the bowel movement color changing to dark red
  c. Information relative to taking preparation through a straw to prevent staining of teeth
  d. Information relative to taking a drug with meals or a snack

[ally]

Answer to Question 1

ANS: C
Pain control during the crisis is the focus. Continuous opioids are the mainstay of pain management. Certainly IV fluids to reduce viscosity of blood and oxygen for relief of dyspnea are important, but pain control is paramount in the acute phase.

Answer to Question 2

ANS: C
Liquid iron preparations should be drunk through a straw to prevent tooth staining. All oral iron preparations should be taken before meals. Dairy products interfere with the absorption of iron.

[JGIBBSON]

Excellent

[kthug]

Gracias!