What additional laboratory test should be performed on any African American client who sustains a serious burn injury?
A. Total protein
B. Tissue type antigens
C. Prostate specific antigen
D. Hemoglobin S electrophoresis
D
Sickle cell disease and sickle cell trait are more common among African Americans. Although clients with sickle cell disease usually know their status, the client with sickle cell trait may not. The fluid, circulatory, and respiratory alterations that occur in the emergent phase of a burn injury could result in decreased tissue perfusion that is sufficient to cause sickling of cells, even in a person who only has the trait. Determining the client's sickle cell status by checking the per-centage of hemoglobin S is essential for any African American client who has a burn injury.
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When describing the action of cholinesterase inhibitors to a class of nursing students, the instructor would include which of the following about their action? Select all that apply
A) The drugs decrease the level of acetylcholine in the CNS. B) They inhibit the breakdown of acetylcholine. C) The drugs slow neural destruction. D) They stop neural breakdown. E) The drugs increase excitatory neurotransmitters in the CNS.
When developing the plan of care for a client who is receiving lithium therapy, which nursing diagnosis would the nurse most likely identify as a priority?
A) Self-Care Deficit B) Disturbed Sleep Pattern C) Imbalanced Nutrition: Less Than Body Requirements D) Imbalanced Fluid Volume
The nurse is transfusing red blood cells to a client who has sickle cell disease. Which laboratory result indicates that the nurse should discontinue the transfusion?
a. Hematocrit level (Hct), 32% b. Hemoglobin S, 88% c. Serum iron level, 300 mcg/dL d. Total white blood cell count, 12,000/mm3
What factor contributes to a vaso-occlusive crisis in a child with Sickle Cell anemia?
1. Dehydration 2. Alkalosis 3. Infection 4. Stress