Angela Clayton, a 7-year-old girl, was diagnosed with sickle cell…
Question Answered step-by-step Angela Clayton, a 7-year-old girl, was diagnosed with sickle cell… Angela Clayton, a 7-year-old girl, was diagnosed with sickle cell disease at birth. She was outside playing in the snow when she developed severe abdominal pain. Her parents immediately took her to the emergency room suspecting a sickle cell crisis. Describe the nursing process for the patient with sickle cell crisisMary Saeger, a 56-year-old woman, is receiving outpatient chemotherapy for bladder cancer. A round of chemotherapy consists of gemcitabine on day 1 and day 8. Cisplantin is administered on day 2. A CBC with differential is ordered prior to the chemotherapy on day 1, day 8, and 1 week after the chemotherapy. The absolute neutrophil count (ANC) is 489/mm³ at 1 week after the chemotherapy. The patient’s temperature is 97.6°F. a. What is the significance of the absolute neutrophil count?Based on the reason for the neutropenia, what medical management would you anticipate?What patient teaching will the nurse provide to the patient?4. John King, 60 years of age, is a male patient who is admitted with the diagnosis of multiple myeloma. He presents with a spinal fracture of the fifth lumbar vertebrae. The patient is scheduled for a vertebroplasty of the spinal fracture. The patient is to remain on bed rest and should be log rolled. Osteolytic lesions are seen in x-rays of the skull, vertebrae, and ribs. The patient has hypercalcemia. The patient’s uric acid level is elevated. The patient has prescriptions for zoledronic acid (Zometa), thalidomide (Thalomid), allopurinol (Zyloprim), calcitonin, ibuprofen, and Vicodin. What nursing management should the nurse provide the patient?Explain the indication and action of the various medications ordered to treat the patient’s symptoms.5. Susan Clare, age 38, is admitted to the medical oncology unit with acute myeloid leukemia (AML). She has many areas of ecchymosis and petechiae on her skin, as well as generalized pallor. She states she has lost 15 pounds in the last 2 months, and often has a low-grade fever. On physical assessment, you find her liver and spleen to be enlarged on palpation. What laboratory results would you anticipate due to her ecchymosis and petechia?Why would it be important to inspect her gums and teeth?Why is her liver enlarged? Health Science Science Nursing MED SURGIC 324 Share QuestionEmailCopy link Comments (0)
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