A 16-year-old is admitted with sickle cell crisis. The patient has a pain scale rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4°F. Select all the appropriate nursing interventions for this patient at this time?
Remove restrictive clothing or objects from the patient
Administer IV Morphine per MD order
Administer oxygen per MD order
Place on NPO
Start intravenous fluids per MD order
Keep patient on bed rest
Correct Answer : A,B,C,D,E,F
A. Remove restrictive clothing or objects from the patient: This helps to promote comfort and improve circulation.
B. Administer IV Morphine per MD order: Morphine is a common medication used to manage severe pain associated with sickle cell crisis.
C. Administer oxygen per MD order: Oxygen may be needed to improve oxygen saturation and support respiratory function, especially if the patient is hypoxic.
D. Place on NPO: This is appropriate in case the patient needs any procedures or interventions that require fasting.
E. Start intravenous fluids per MD order: Intravenous fluids help to hydrate the patient and improve blood flow, which can help alleviate symptoms of sickle cell crisis.
F. Keep patient on bed rest: Bed rest is important to conserve energy and minimize the risk of further complications during a sickle cell crisis.
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Correct Answer is B
Explanation
A. Cyclosporine. While cyclosporine is used to treat aplastic anemia, particularly in cases of immune-mediated aplastic anemia, it is not considered a potential cure.
B. Stem cell transplantation. Stem cell transplantation is both a standard treatment and a potential cure for aplastic anemia, especially for younger patients with a suitable donor.
C. Plasmapheresis. Plasmapheresis is not a standard treatment for aplastic anemia.
D. Transfusions. Blood transfusions are a supportive treatment for aplastic anemia but not a cure.
Correct Answer is B
Explanation
A. An endometrial biopsy. This test is used to diagnose endometrial cancer, not cervical cancer.
B. Papanicolaou test. The Pap test (Papanicolaou test) is the preferred and standard method for detecting cervical cancer by identifying precancerous or cancerous cells on the cervix.
C. CA 125. CA 125 is a tumor marker that is often used in the detection and management of ovarian cancer, not cervical cancer.
D. Transvaginal ultrasound. This imaging test is typically used to evaluate ovarian and endometrial abnormalities but is not the preferred method for detecting cervical cancer.
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