Question

Lab Assignment

• Create a table and identify ranges of acceptable vital sign values (temperature, pulse rate, respiration rate, blood pressure and oxygen saturation) for an infant, a child, and an adult.

• J.P. is a 15-year-old African American adolescent who was diagnosed with sickle cell disease 3 years ago. J.P. presents to the emergency department with pain related to sickle cell crisis.

Subjective Data
Pain level is an 8/10 location = bilateral legs, described as deep muscle pain
Student in 10th grade, honor roll student
On the track team
Lives with mother and father

Objective Data
Vital signs: T 37 P 80 R 18 BP 140/68
Weight: 140
HT: 5 feet, 6 inches

Questions

1. What other assessments should be included for this patient? Explain your answers.
2. Discuss the various types of pain that a patient can experience. Explain your answers.
3. What type of pain does this patient describe? Explain your answers.
4. What standards of assessing pain will be applied to this patient’s plan of care? Explain your answers.
5. Discuss three (3) patient education/teachings that should the nurse consider from the problems list. Explain your answer.
6. Provide four (4) interventions that should be included in the plan of care for this patient. Explain your answers.

Answer 1

Sickle cell anemia is a blood disease caused by inherited abnormal haemoglobin in blood.

1)in that other symptoms of sickle cell anemia are :fatigue,anemia, swelling and inflammations of hand,feet and arthritis.Breathing difficulty.

2)pain level in patient with sickle cell anemia are intermittent painful episodes thast are result of lack of blood supply.this lead to excruciating pain,often requiring hospitalization. The pain typically is throbbing and can change its location from the body area to another.Bones are frequently affected.

A pain crisis can be promoted b preceding dehydration,infection.

pain crises require some time need pain killers and increased fluid intake.

arthritis or joint inflammation is a other type of pain.with the symptom of swelling,tenderness, limited range of motion.this can managed by using analgesics like ibuprofen and aspirin.

3)Teach patient about management of sickle cell crisisby maintain adequate hydration, avoid stressful situations,keep warm.

teaching about breathing exercise and relaxation technique.

4) nursing intervention are : a ) MANAGING PAIN : support and elevate joint to reduce swelling.

Teaching about breathinng exerciseteach patient relaxation technique ,teaching breathing exercise

b) MANAGEMENT OF BREATHING DIFFICULTY: administer oxygen according to patients need,check oxygen saturation.

c)PREVENTION OF INFECTION : Monitor patient for sign and symptoms.

initiate prescribed antibiotics promptly

Teach patient to take prescribed oral antibiotics at home.

d)INCREASING KNOWLEDGE: Teach patient about prevention of sickle cell crisis by maintain hydration, keep warm