Question

Which medication order would require immediate intervention by the nurse in order to prevent potential complications for the pancytopenic cancer pediatric patient?

Offer fluids to hydrate the patient
Administer Aleve for relief of joint related pain
Administer Neupogen as ordered
Administer morphine for severe pain as ordered

A child is being seen in the emergency department with multiple facial abrasions and lacerations. The combination agent lidocaine, adrenaline, and tetracaine (LAT) is applied topically to the wounds. The purpose of this combination therapy is to
a. cleanse the wound.
b. promote scab formation.
c. prevent infection of the wound.
d. provide anesthesia to the wound.

Answer 1

The administration of Aleve should be halted immediately due to the increased risk of bleeding in a pancytopenic pediatric cancer patient; instead, administering Neupogen, morphine, or hydrating fluids is appropriate. The LAT gel is used for anesthesia in facial abrasions. For the first question, the answer is option 1,3 and 4 and for the second part the answer is option d.

Step-by-step explanation:

The medication order that would require immediate intervention by the nurse to prevent potential complications for a pancytopenic cancer pediatric patient is the administration of Aleve for relief of joint-related pain. Pancytopenia involves reductions in red blood cells, white blood cells, and platelets, which means that nonsteroidal anti-inflammatory drugs (NSAIDs) like Aleve can further suppress bone marrow function and increase the risk of bleeding.

In contrast, offering fluids to hydrate the patient, administrating Neupogen as ordered, and administrating morphine for severe pain as ordered are typically appropriate interventions. In the case of the child with multiple facial abrasions and lacerations, the combination agent lidocaine, adrenaline, and tetracaine (LAT) applied topically to the wounds serves the purpose of providing anesthesia to the wound (d).

For the first question, the answer is option 1,3 and 4 and for the second part the answer is option d.