The nurse explains to the parents of a 1-year-old child admitted to the hospital in a sickle cell crisis that the local tissue damage the child has on admission is caused by which of the following?
A. Autoimmune reaction complicated by hypoxia
B. Lack of oxygen in the red blood cells
C. Obstruction to circulation
D. Elevated serum bilirubin concentration
Answer: C. Obstruction to circulation
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The community health nurse is performing a home visit to an 84-year-old woman recovering from hip surgery
The nurse notes that the woman seems uncharacteristically confused and has dry mucous membranes. When asked about her fluid intake, the patient states, "I stop drinking water early in the day because it is just too difficult to get up during the night to go to the bathroom." What would be the nurse's best response? A) "I will need to have your medications adjusted so you will need to be readmitted to the hospital for a complete workup." B) "Limiting your fluids can create imbalances in your body that can result in confusion. Maybe we need to adjust the timing of your fluids." C) "It is normal to be a little confused following surgery, and it is safe not to urinate at night." D) "If you build up too much urine in your bladder, it can cause you to get confused, especially when your body is under stress. "
A nurse is providing care to a client taking a CNS stimulant. The nurse assesses the client closely for which of the following as a possible adverse reaction? Select all that apply
A) Disorientation B) Dyspnea C) Bradycardia D) Urinary retention E) Headache
The nurse is visiting a client who resides in a single-room occupancy hotel. Groups of people are leaning against the building and smoking on the steps. There is obvious substance abuse occurring in the lobby and halls of the building
There is no running water in the room, and the bathroom down the hall is in disrepair and filthy. A primary concern that the nurse must consider when making this visit is safety. Which of the following actions are appropriate safety measures? Select all that apply. a. Notify the police that the nurse plans to visit this site. b. Carry something that can be used as a weapon if necessary. c. Inform the home health agency of the nurse's route and time of visit. d. Do not visit if the nurse senses danger when he arrives at the site.
A client presents with painful, inflamed fingers with small, hard, yellow nodules that have a sandy yellow drainage. Which medication does the nurse prepare to administer to the client?
a. Colchicine (Colasalide) b. Allopurinol (Zyloprim) c. Methotrexate (Rheumatrex) d. Aspirin