Which instruction will the nurse plan to include in discharge teaching for the patient admitted with a sickle cell crisis?

a. Take a daily multivitamin with iron.
b. Limit fluids to 2 to 3 quarts per day.
c. Avoid exposure to crowds when possible.
d. Drink only two caffeinated beverages daily.


ANS: C
Exposure to crowds increases the patient's risk for infection, the most common cause of sickle cell crisis. There is no restriction on caffeine use. Iron supplementation is generally not recommended. A high-fluid intake is recommended.

Nursing

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Which medication is matched correctly to the condition given of an older adult patient according to current medical knowledge?

a. Methylphenidate (Ritalin) for depression at bedtime b. Buspirone (BuSpar) for chronic anxiety states c. Amitriptyline (Elavil) for depression in the morning d. Haloperidol (Haldol) long-term for psychotic behavior

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A client who is in week 28 of gestation is concerned about her weight gain of 17 lb. The nurse's best response is:

a. "You should try to decrease your amount of weight gain for the next 12 weeks." b. "You have gained an appropriate amount for the number of weeks of your preg-nancy." c. "You should not gain any more weight until you reach the third trimester." d. "You have not gained enough weight for the number of weeks of your pregnan-cy."

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A patient with type 1 diabetes is taking NPH insulin, 30 units every day. A nurse notes that the patient is also taking metoprolol [Lopressor]. What education should the nurse provide to the pa-tient?

a. "Metoprolol has no effect on diabetes mellitus or on your insulin requirements." b. "Metoprolol interferes with the effects of insulin, so you may need to increase your insulin dose." c. "Metoprolol may mask signs of hypogly-cemia, so you need to monitor your blood glucose closely." d. "Metoprolol may potentiate the effects of the insulin, so the dose should be re-duced."

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Which precaution is most important for the nurse to teach a patient who is receiving intravenous (IV) drug therapy?

a. "Turn on your call light if the IV machine starts to beep for any reason." b. "Do not use the arm that has the IV running in it for any reason whatsoever." c. "Call me immediately if you start to feel any pain or burning in the arm with the IV." d. "If you think the IV is running too slowly, just push the up-arrow button on the machine once or twice."

Nursing