The nurse questions which orders for the 12-year-old patient in sickle cell crisis? Select all that apply.

Provide intravenous meperidine for pain levels ≥5 , Administer 0.45% NaCl 200 ml/kg/day intravenously , Encourage frequent ambulation and trips to the hospital garden, Perform active and passive range of motion exercises on all joints , Encourage a high carbohydrate, high fat diet with frequent snacks. The patient with sickle cell crisis requires rest, hydration, and pain control. However, meperidine is contraindicated due to severe side effects. A large amount of hypotonic saline can cause serious complications like cerebral edema; an isotonic fluid is indicated. The patient should rest quietly in a position of comfort in bed, not walk to the hospital garden. The patient in crisis likely has swollen painful joints; ROM exercises can cause trauma to the joint. A high protein, high calorie diet should be encouraged.

The nurse questions which orders for the 12-year-old patient in s...

Category: Physiological Adaptation
Difficulty: 10

Topics: Communication & Documentation Fluid and Electrolytes Genetics Hematology/Oncology Inflammation

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