78. A nurse admits a preschooler with sickle cell anemia. Which medications should the nurse expect that the child has been receiving at home? Select all that apply.
78. A nurse admits a preschooler with sickle cell anemia. Which medications should the nurse expect that the child has been receiving at home? Select all that apply.
Test-Taking Tip
Recall that children who are likely to receive multiple blood transfusions (as in sickle cell anemia) are at risk for hemosiderosis, or iron overload. Select the options that will not worsen this condition.
Content Area: Child Health, Hematological; Integrated Process: Nursing Process, Analysis; Cognitive Level: Analysis; Client Need/Subneed: Physiological Integrity/Pharmacological and Parenteral Therapies/Medication Administration
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Answer 1 is incorrect because iron supplementation is typically not prescribed for children with sickle cell anemia, because there already is a risk of excess iron in the blood. Answer 2 is correct because children with sickle cell anemia frequently take prophylactic antibiotics because of an increased risk for infection. Answer 3 is correct because these children may take NSAIDs for pain relief. Answer 4 is correct because folic acid is commonly prescribed to assist in the production of healthy red blood cells. Answer 5 is correct because these children are at risk for iron overload and are commonly prescribed chelation agents such as Desferal.
