What happens to the sickle-shaped red blood cells during a sickle cell crisis?
a. Rupture
b. Production of hemoglobin S
c. Interference with blood production
d. Obstruction of major arteries
D
Circulatory obstruction causes severe pain in patients with sickle cell anemia, which is the major symptom in sickle cell crisis. The hemoglobin S does not, in itself, cause the crises until the cells obstruct a vessel.
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Infection and sepsis are significant complications of ARDS. Which nursing action has the highest priority in preventing infection and sepsis?
A) Maintain plateau airway pressure below 30. B) Infuse enteral nutrition with minimal interruptions. C) Keep patient sedated to facilitate ventilation. D) Place in prone position every 2 to 4 hours.
Which interventions should the nurse plan when caring for a child with a visual impairment? Select all that apply
a. Touch the child upon entering the room before speaking. b. Keep items in the room in the same location. c. Describe the placement of the eating utensils on the meal tray. d. Use color examples to describe something to a child who has been blind since birth. e. Identify noises for the child.
The most appropriate first-line treatment for an acute gout flare is (assuming no kidney disease or elevated bleeding risk)
A. Indomethacin 50 mg TID for 2 days; then 25 mg TID for 3 days B. Doxycycline 100 mg BID for 5 days C. Prednisolone 35 mg QD for 5 days D. Ice therapy
The nurse is preparing to administer an enteral feeding to a patient who receives 300 mL of Isocal over 30 minutes every 4 hours. The nurse checks the residual prior to initiating the feeding and notes a residual amount of 50 mL of formula
Which action will the nurse take next? a. Administer the feeding as ordered. b. Administer the feeding over 60 minutes. c. Hold the feeding and notify the patient's provider. d. Wait 1 hour and recheck the residual again.