A seven-year-old child is admitted in sickle-cell crisis. The nurse is concerned with reducing the child's pain

Question

Recognizing that any activity that reduces the sickling will reduce the pain, nursing activities will include: Standard Text: Select all that apply. 1. Administration of narcotics.
2. Administration of NSAIDs.
3. Cold application.
4. Encouraging oral fluids.
5. Maintaining bed rest.

Answer 1

1,2,4,5
Rationale 1: Narcotics, such as morphine, are used to control the pain and reduce sickling.
Rationale 2: NSAIDs may be used in combination with narcotics to control the pain.
Rationale 3: Cold application is inappropriate in this situation as it would increase the sickling.
Rationale 4: Oral fluids will help "thin" the blood and reduce sickling.
Rationale 5: Bed rest will reduce the oxygen requirements of the body and prevent further sickling.
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