The client in sickle cell crisis has effective pain management. What is now the priority nursing diagnosis?
A. Deficient Knowledge related to contraception and pregnancy options
B. Deficient Knowledge related to prevention of crisis episodes
C. Risk for Injury related to decreased tissue oxygenation
D. Risk for Infection related to decreased spleen function
C
During sickle cell crisis, when cells are sickled, blood flow is obstructed in the microcirculation and macrocirculation. Depending on which tissue is hypoxic or anoxic, ischemia can lead to tis-sue injury and cell death.
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The nurse admits a child to the pediatrician's office for a well-child checkup and finds the child is short with broad hands, hyperactive, microcephalic, and both mentally and growth-retarded
The nurse reviews the client's chart anticipating a diagnosis of: 1. Down syndrome. 2. Asperger's disorder. 3. Fetal alcohol syndrome. 4. Autism.
When making morning rounds, a client with acute leukemia reports having nosebleeds off and on throughout the night. Which action should be taken by the nurse?
1. Check the client's blood pressure and pulse. 2. Determine whether client has pain anywhere. 3. Report the findings to the physician. 4. Apply a water-soluble lubricant to the nares.
What initially causes a chemoreceptor response?
a. Epidurals b. Supine maternal position c. Increased CO2 levels d. Decreased O2 levels e. A & C f. A & B g. C & D
The primary care NP sees a 65-year-old patient in October. The patient has a history of COPD and has not had any vaccines for more than 20 years. The NP should administer:
a. influenza and Td vaccines. b. PCV 13 and influenza vaccines. c. PPV 23, Td, and influenza vaccines. d. PPV 23, influenza, and TdaP vaccines.