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Question The main disadvantage of the oral route of drug administration is Image transcription textThe main disadvantage of the oral route of drug administration is… Show more Social Science Psychology Share QuestionEmailCopy link This question was created from Quiz_ Final.pdf Comments (0)

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Question Answered step-by-step Client Profile:Case Study:Questions: Nisha is a 14 year-old with sickle cell anemia. She lives with her mother and grandmother in a rural neighborhood. Nisha has experienced several "sickle cell crises". However, they seem to have become more frequent since she became an adolescent. Nisha is enjoying her summer break from school. She is active in softball and enjoys shopping with her girlfriends. Nisha's mother brings her to the hematology clinic at the hospital with complaints of severe generalized pain following a softball game in which she pitched seven innings. She is admitted to the medical pediatric unit. Her vital signs are: temperature, 37.6 degrees C (99.7 degrees F); pulse 110 beats/minute; respiration, 30 breaths/minute; and blood pressure, 96/70. She weighs 110 lb. Her complete blood count reveals; hemoglobin, 9 g/dL; hematocrit 24%; white blood cell count, 12,000 cells/mm3 and platelet count, 140,000 cells/mm3. Her oxygen saturation is 89%. 1. Discuss your impressions of Nisha's clinical manifestations. 2. Discuss the pathophysiology of sickle cell 3. What causes sickle cell anemia and how common is it? 4. What is sickle cell crisis? 5. What other assessment data would be helpful for the nurse to have to prepare Nisha's care plan? 6. What are the priorities of care for Nisha on admission? 7. The health care provider prescribes the following for Nisha: a. vital signs q 4 h. Notify health care provider of temperature > 38 degrees C (100.4 degrees F) b. regular diet c. Strict bed rest d. Complete blood count with differential in the morning e. Urine for urinalysis (U/A) and culture and sensitivity (C/S) f. Chest x ray g. IV fluids of 5% dextrose in water with 0.45% normal saline to infuse at 175 mL/hour h. PCA morphine sulfate 1.5 mg continuous and 1 mg every 8 minutes, PCA dose. i. Acetaminophen 650 mg q 4hr PO for temperature >38 degrees C (100.4 degrees F) j. Oxygen at 2 liters per nasal cannula, titrating to maintain oxygen saturation >94%. 8. Discuss these prescriptions and if the nurse should question any of them 9. What nursing diagnoses would be appropriate in meeting Nisha's needs 10. What nursing interventions would be appropriate in meeting Nisha's needs? What I need help with is (1) Explain disease process of Sickle Cell and nursing management. (2) Explain treatments and medications in case study  Health Science Science Nursing NUR 301 Share QuestionEmailCopy link Comments (0)
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