The nurse is asked to prepare for the hospital admission of a child with sickle cell disease (SCD) who is being admitted for the treatment of vaso-occlusive pain crisis
The nurse prepares for the admission, anticipating that which of the following will be prescribed for the child? 1. NPO status
2. Intravenous (IV) fluids
3. Meperidine (Demerol) for pain
4. Intubation for the administration of oxygen
2
Rationale: IV fluid and increased oral fluids are a component of the treatment plan for the child with vaso-occlusive crisis. Management of the severe pain that occurs with vaso-occlusive crisis includes the use of opioid analgesics, such as morphine sulfate and hydromorphone. Demerol is contraindicated because of its side effects and the increased risk of seizures with its use. Oxygen is administered when hypoxia is present and the oxygen saturation level is less than 95%. Intuba-tion is not necessary to treat vaso-occlusive crisis.
You might also like to view...
Which of the following lab results would be associated with abnormalities in kidney function? Select all that apply
A) An absence of protein in a urine sample B) Increased creatinine levels C) Urine gravity of 1.038 and normal serum creatinine levels D) Decreased blood urea nitrogen (BUN) level E) Detectable levels of glucose in a urine sample F) Elevated cystatin-C level.
When educating a group of nursing students on the signs of heart failure, the nurse mentions that the ejection fraction is altered in heart failure
The students demonstrate understanding of the information when they identify which ejection fraction as suggesting heart failure? A) 38% B) 48% C) 58% D) 68%
The decision has been made to discharge your ventilator-dependent patient home. You are developing a teaching plan for this patient and his family. What would be important for you to include in this teaching plan? (Mark all that apply.)
A) Running a backup generator B) Assessment of vital signs C) Turning and coughing D) Signs of pulmonary infection
An 82-year-old female is brought to the clinic by her daughter for transient episodes of incontinence. While assessing this patient, what question should be a priority for the nurse to ask the patient and the family?
A) Do these episodes last more than a week? B) Has there been a change in other systems of the body? C) Does the patient take bubble baths? D) What improves the symptoms?