the nurse is reviewing a health care provider’s prescriptions for a child with sickle cell anemia admitted for the treatment of a vaso-occlusive crisis. which prescriptions documented in the child’s record should the nurse question? (SATA)a. restrict fluid intake b. position for comfort c. avoid strain on painful joints d. apply nasal oxygen at 2 L/min e. provide a high calorie, high protein diet f. give meperidine, 25 mg intravenously every 4 hours for pain
A. RESTRICT FLUID INTAKE F. GIVE MEPERIDINE, 25 MG INTRAVENOUSLY EVERY 4 HOURS FOR PAIN
The nurse should question the following prescriptions documented in the child’s record:
a. Restrict fluid intake: This is not recommended for a child with sickle cell anemia who is admitted for the treatment of a vaso-occlusive crisis. To prevent dehydration and further sickling of the red blood cells, the child should be encouraged to drink plenty of fluids.
f. Give meperidine, 25 mg intravenously every 4 hours for pain: Meperidine is not recommended for the treatment of pain in sickle cell anemia due to the risk of causing seizures. A safer alternative would be morphine or hydromorphone.
The other prescriptions (b, c, d, e) are appropriate and should not be questioned by the nurse. The child should be positioned for comfort, avoid strain on painful joints, receive supplemental oxygen to improve tissue oxygenation, and be provided with a high calorie, high protein diet to promote healing and recovery.
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