What pain medication is contraindicated in children with sickle cell disease (SCD)?

a. Meperidine (Demerol)
b. Hydrocodone (Vicodin)
c. Morphine sulfate
d. Ketorolac (Toradol)


ANS: A
Meperidine (pethidine [Demerol]) is not recommended. Normeperidine, a metabolite of meperidine, is a central nervous system stimulant that produces anxiety, tremors, myoclonus, and generalized seizures when it accumulates with repetitive dosing. Patients with SCD are particularly at risk for normeperidine-induced seizures.

Nursing

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What percentage of all nurses has a baccalaureate degree in the United States?

a. 10 percent b. 15 percent c. 28 percent d. 36.8 percent

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Negative symptoms of schizophrenia include delusions, hallucinations, and fluent but disorganized speech

Indicate whether the statement is true or false

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MC The nurse does postpartal home visits to check on the mother and infant. During the visit, the nurse and mother discuss how the postpartal course is going and how the infant is doing with feeding and sleeping

The nurse provides information and answers any questions the mother may have and performs teaching as needed. This nursing role is considered: A. Case finding and referral. B. Care of the sick. C. Health promotion and illness prevention. D. Home health nursing.

Nursing

For patients with severe and persistent mental illness, what is the major advantage of case management? A case manager can:

a. modify traditional psychotherapy. b. more efficiently use resources as the only manager responsible for coordinating services. c. focus on social skills training and self-esteem building. d. bring groups of patients together to discuss common problems.

Nursing