ATI Maternity Nur230 | Nurselytic

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Extract:

Adolescent with sickle cell disease, pain rated 9/10


Question 1 of 5

A nurse is providing care for an adolescent who was brought to the emergency department (ED) by their guardians due to pain in the left arm that started the previous evening. The adolescent has a history of sickle cell disease diagnosed at age 4. They have a prescription for oral morphine sulfate and took one dose the previous evening at 1800 and another this morning at 0900. The adolescent reports no relief from pain, rating it as 9 on a scale of 0 to 10. For each potential provider's prescription, specify if the prescription is anticipated, nonessential, or contraindicated for the client.

Intervention AnticipatedNonessential Contraindicated
A. Intravenous fluids (IVF) at maintenance rate
B. Meperidine IV for pain
C. Ice packs to the affected area for 15 min on/15 min off
D. Oxygen 2 L/min via nasal cannula

Correct Answer: A(Anticipated), B(Contraindicated), C(nonessential), D(Anticipated)

Rationale: IV fluids and oxygen are anticipated to prevent sickling; meperidine is contraindicated due to seizure risk; ice packs are nonessential as they may worsen sickling.

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