Question

A client diagnosed with sickle cell crisis reports 10 out of 10 pain in the back, legs, and knees. The nurse observes that the client's respirations are 10 per minute. Which prescribed pharmacological nursing intervention will promote comfort for this client? • 1. Administering IV morphine sulfate. • 2. Administering PO clonidine. • 3. Administering IV magnesium sulfate. • 4. Administering an IV infusion of 0.9% NaCI

          A client diagnosed with sickle cell crisis reports 10 out of 10 pain in the back, legs, and knees. The nurse observes that the client's respirations are 10 per minute. Which prescribed pharmacological nursing intervention will promote comfort for this client?
• 1. Administering IV morphine sulfate.
• 2. Administering PO clonidine.
• 3. Administering IV magnesium sulfate.
• 4. Administering an IV infusion of 0.9% NaCI
        
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A client diagnosed with sickle cell crisis reports 10 out of 10 pain in the back, legs, and knees. The nurse observes that the client's respirations are 10 per minute. Which prescribed pharmacological nursing intervention will promote comfort for this client? • 1. Administering IV morphine sulfate. • 2. Administering PO clonidine. • 3. Administering IV magnesium sulfate. • 4. Administering an IV infusion of 0.9% NaCI
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MD Orders: Morphine 4 mg SUBQ every 4 hours as needed for severe pain (score of 6 or more on a 1 to 10 pain scale). The medicine cart has 1 mL vials of morphine 5 mg/mL. The nurse assesses the patient's pain and prepares to administer the ordered dose. How much medication will the nurse administer? a. 0.4 mL b. 0.8 mL c. 1 mL d. 4 mL

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Transcript

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00:01 Okay, this question here says for each client a finding, click this to specify if the finding is consistent with sickle cell disease, iron deficiency, anemia or leukemia each finding may support more than one disease process.
00:17 So first a heart rate at 1 ,000 and this is well a heart rate of 1 ,000 this is this is not going to cure in any of these things.
00:27 I think that it is not going to cure like in any condition, okay so this is for any of this.
00:34 Then you have jaundice and jaundice is occurs when you have hemolysis for example hemolysis, okay.
00:43 It means great blood cell destruction and in this case it's gonna happen and this is true for for sickle cell disease okay, because in sickle cell disease there is hemolysis because the rbcs are gonna be just like broken down early and this is going to increase biligramine levels and cause jaundice.
01:03 Okay, that is yellowing of the skin and eyes in iron deficiency anemia it is not typical to happen in iron deficiency anemia, okay because in iron deficiency anemia, there is no destruction of rbcs, but low production of rbcs so this is not here.
01:20 Then you have leukemia and jaundice is rare in leukemia, but can occur in some situations okay, for example leukemia cells infiltrating the liver or affecting the bile ducts can go through the flow of bile leading to jaundice, but it is not typical.
01:33 So let's not mark here then you have an ankle ulcer...
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