During discharge teaching to parents of a child hospitalized with sickle-cell crisis, the nurse should emphasize which of the following as a priority home care intervention?
1. Encouraging adequate hydration
2. Promotion of a diet high in protein
3. Restriction of activities
4. Rapid weaning of pain medications
1
Rationale:
1. Adequate hydration will help prevent further sequestration and crisis.
2. A high-protein diet is not necessary; a well balanced diet should be promoted.
3. Normal activities are not restricted.
4. Rapid weaning is not necessary; reduction of pain medication should proceed at a rate dictated by the child's pain.
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A terminally ill cancer patient with metastasis to the bone has been admitted with elevated calcium levels (hypercalcemic crisis). The patient is very lethargic and exhibiting muscle flaccidity. The nurse should be prepared to administer
(Select all that apply.) A) pamidronate, a bisphosphonate. B) intravenous drip of insulin. C) furosemide, a loop diuretic. D) gallium nitrate, a gallium salt of nitric acid. E) prednisone, a corticosteroid.
When the pediatric nurse is attempting to establish a trusting relationship with a child, the most important and lasting thing to be done is to:
a. convey respect. b. talk with the child. c. be honest. d. talk with family.
Lead aVL views the _____
a. interatrial septum b. lateral wall of the left ventricle c. inferior wall of the left ventricle d. anterior wall of the right ventricle
An NP is caring for a 70-year-old patient who reports having seasonal allergies with severe rhinorrhea. Using the Beers criteria, which of the following medications should the NP recommend for this patient?
a. Loratadine (Claritin) b. Hydroxyzine (Vistaril) c. Diphenhydramine (Benadryl) d. Chlorpheniramine maleate (Chlorphen 12)