Which medication should the nurse expect to administer to a child admitted with sickle-cell pain?
1. Morphine sulfate (Duramorph)
2. Meperidine (Demerol)
3. Acetaminophen (Tylenol)
4. Ibuprofen (Advil)
1
Rationale:
1. The pain during a sickling crisis is severe, and morphine is needed for pain control around the clock or by patient-controlled analgesia (PCA).
2. Meperidine is not used for pain control for clients with sickle-cell pain crisis, because it can cause seizures.
3. 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.
4. 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.
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