What should be a major focus in a teaching plan for a teenager with sickle cell anemia?
a. Limit tobacco use to no more than two cigarettes a day.
b. Eat foods high in iron and vitamin B.
c. Maintain environmental temperature at 65° F to 68° F.
d. Maintain adequate hydration.
D
The maintenance of adequate fluid intake (4-6 L/day) prevents hemoconcentration. The use of alcohol and tobacco are contraindicated for the patient with sickle cell anemia as the cause va-soconstriction. Warm environments are more therapeutic as warm environments do not cause vasoconstriction.
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The client with a history of alcohol abuse is being discharged for a treatment facility. Which prescription does the nurse anticipate for this client?
A) Disulfiram B) Naloxone C) Bupropion hydrochloride D) Varenicline
A new father states, "I know nothing about babies," but he seems to be interested in learning. The nurse should
a. Continue to observe his interaction with the newborn. b. Tell him when he does something wrong. c. Show no concern, as he will learn on his own. d. Include him in teaching sessions.
An emergency department nurse receives a report that an incoming client has a Glascow Coma Scale (GCS) score of 8. The nurse prepares to implement which of the following?
1. Treat the client's pain 2. Assess airway, breathing, and circulation 3. Get a complete history from the client 4. Triage with the other emergency department clients
The advance medical directive and the living will are confused by patients and staff. Which of the following explains the difference?
a. A living will designates the person to make their health care decisions if the pa-tient is no longer able to. b. An advance directive designates do not resuscitate directives. c. The advance directive details the wishes of the patient while he is still competent. d. The living will is signed by two nonrelated people and can never be altered.