Which of the following approaches to pain treatment would be best for a child with a diagnosis of sickle cell anemia who is having pain related to a vaso-occlusive crisis?

a. pain medication every 3 to 4 hours as necessary
b. pain medication every 3 to 4 hours around the clock
c. each pain medication dose ordered specifically by the physician in response to the nurse calling the doctor
d. as little pain medication as possible by using some alternative comforting methods


B

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A Incorrect. Analgesics should be given around the clock on a scheduled basis rather than on an as-needed basis.
B Correct. Pain management is most commonly needed when a child experiences a vaso-occlusive crisis. In this instance, analgesics should be given around the clock on a scheduled basis rather than on an as-needed basis.
C Incorrect. Analgesics should be given around the clock on a scheduled basis rather than as ordered by the physician.
D Incorrect. Pain management requires that analgesics should be given around the clock on a scheduled basis rather than on a limited basis.

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