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A nurse is caring for a 12-year-old client who has sickle cell disease.

Complete the following sentence by using the lists of options.

The nurse should anticipate a provider prescription for

due to the child's .
Answer and Explanation

The Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"A"}

Severe Pain Management: The child's pain increased from 7/10 to 10/10, indicating worsening vaso-occlusive crisis. IV hydromorphone (Dilaudid) is a strong opioid analgesic commonly used for severe sickle cell pain when first-line options (e.g., morphine) are insufficient. Swelling and warmth in the right knee suggest ongoing vaso-occlusion and inflammation. Increased blood pressure (120/74 mm Hg) and respiratory rate (25/min) likely indicate pain-related distress.


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Related Questions

Correct Answer is A

Explanation

A. "Share a bedroom with your infant for the first 6 months." The American Academy of Pediatrics (AAP) recommends room-sharing (but not bed-sharing) for at least the first 6 months to reduce the risk of SUID/SIDS.
B. "Place your infant on a soft crib mattress after they are 4 months old." A firm mattress is always recommended, as soft bedding increases the risk of suffocation and SUID/SIDS.
C. "Cover your infant with a nonflammable blanket at bedtime." Blankets should not be used, as they pose a suffocation risk. Instead, parents should use a sleep sack or wearable blanket for warmth.
D. "Use bumper pads around the interior of your infant's crib." Bumper pads increase the risk of suffocation and entrapment and are not recommended for safe sleep.

Correct Answer is A

Explanation

A. "Capillary refill less than 2 seconds." A capillary refill time of less than 2 seconds indicates adequate hydration and perfusion, showing that the fluid replacement therapy has been effective.

B. "Potassium 5.6 mEq/L (3.4 to 4.7 mEq/L)." A potassium level of 5.6 mEq/L is elevated (hyperkalemia) and suggests an imbalance, which can result from inadequate kidney function or excessive potassium intake rather than effective rehydration.

C. "Voiding less than 1 mL/kg/hr." Decreased urine output is a sign of persistent dehydration or kidney dysfunction. Effective fluid therapy should restore normal urine output, typically greater than 1 mL/kg/hr in children.

D. "Tachycardia." Tachycardia is a sign of dehydration. If fluid replacement were effective, heart rate should normalize, not remain elevated.

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