Which problem or condition is most likely to stimulate a crisis in a person who has sickle cell trait?

A. Becoming pregnant
B. Shoveling snow when the temperature is at 0 degrees
C. Having surgery under general anesthesia for colon cancer
D. Having a cast placed on the wrist after sustaining a simple fracture


C
The person who has sickle cell trait usually has less than 40% of his or her total hemoglobin as Hgb S. Although these cells could still become sickled, hypoxic conditions would have to be se-vere for this to occur to the level of sickle cell crisis. Such individuals are most vulnerable to crisis during prolonged surgery under anesthesia.

Nursing

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A nurse is speaking to a group of high school girls about not smoking. The nurse would caution them that the risk of CHD in women who smoke is greater than that for nonsmoking women by

a. two times. b. three times. c. four times. d. five times.

Nursing

The nurse is checking the laboratory results on a client suspected of having a myocardial infarction (MI). Which of the following would provide the most specific information for this diagnosis?

A) low density lipids (LDLs) B) CK-MB C) AST and ALT D) C-reactive protein

Nursing

A nurse learns in orientation that an incident report does not "blame" anyone but concisely documents the events leading up to an occurrence. Which events would warrant completion of an incident report? (Select all that apply.)

a. The client is crying and distraught when he learns of a diagnosis of cancer. b. An intravenous antibiotic given preoperatively does not infuse because of a faulty pump. c. The nurse is unable to carry out orders written by the specialist because of illegibility. d. A client falls while in the shower, although she was told not to get up alone. e. The registered nurse is not available to complete the preoperative checklist.

Nursing

Which factor is primarily responsible for the differences in health care needs and health care outcomes among the various countries?

a. Economic development b. Political system c. Social-cultural system d. Religious affiliation

Nursing