In a child diagnosed with sickle cell disease, which clinical manifestation would the nurse most likely assess?
A) Decreased hemoglobin level
B) Increased appetite
C) Strawberry-colored tongue
D) Hyperactive bowel sounds
Ans: A
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A nurse is assisting a postpartum woman to get up for the first time after an unmedicated vaginal birth. What action by the nurse is best?
A. Apply a properly fitting gait belt before assisting the woman. B. Determine if the woman has normal sensation to her lower extremities. C. Instruct the woman to sit on the edge of the bed prior to standing. D. Take the patient's blood pressure lying down and then in a standing position.
A patient comes into the emergency department with suspected appendicitis. What should the nurse do for this patient?
1. Provide a hot water bottle to place over the abdomen. 2. Provide with clear water to drink. 3. Inspect the abdomen and assess bowel sounds. 4. Prepare to administer a biscodyl (Dulcolax) suppository.
The nurse is discussing anorexia with the nutrition class. What is the best strategy for combating anorexia?
A) Serve food attractively and season according to individual taste. B) Control pain, nausea, or depression with medications. C) Withhold beverages for 30 minutes before and after meals. D) Offer liquid supplements between meals.
A client has been advised to take a low-dose aspirin daily. Which significant adverse effect of aspirin should the nurse teach this client about?
1. Significant stomach irritation, heartburn, nausea/vomiting, diarrhea, and stomach pain 2. Significant tremors and change in level of consciousness 3. An increase in the amount of platelets in the body, causing blood clots to occur 4. Direct effect on the central nervous system, causing irritability and decreased level of consciousness