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.
C
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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.
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