A patient with sickle cell disease tells the nurse that she knows when the disease is going to flare because she has pain in her arms and legs. Which explanation would the nurse provide?
1. "The shape of your blood cells blocks the small capillaries in your arms and legs."
2. "The pain is really due to your history of malaria along with having sickle cell anemia."
3. "Your spleen is destroying all the malformed red blood cells, which makes you anemic and causes arm and leg pain."
4. "The chronic blood loss associated with sickle cell anemia causes pain in the arms and legs."
Answer: 1
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The male nurse is teaching a female client whose cultural background and language is different from his own. Which of the following teaching actions by this nurse is appropriate? Select all that apply. Standard Text: Select all that apply
1. The nurse uses pictures and charts. 2. The nurse assesses the client's comfort with discussing hygiene with a member of the opposite sex. 3. The nurse assumes the client understands when she smiles and nods. 4. The nurse gives printed materials in very basic English. 5. The nurse uses the facility interpreter to help him.
When caring for a dying client in pain, addiction to analgesics is
1. not an issue. 2. to be evaluated daily. 3. to be carefully avoided. 4. to be prevented with pain management techniques.
When irrigating a patient's ear, the nurse will:
1. straighten the ear canal and irrigate with a large-tipped bulb syringe. 2. direct the solution to the middle of the canal to avoid damaging the ear. 3. use a body temperature solution and have the patient hold a basin under the ear while directing the solution toward the top of the canal. 4. repeat the irrigation with hotter water.
A patient, diagnosed with acute kidney injury, is on a fluid restriction. Which of the following nursing interventions would be appropriate for this patient?
1. allow the patient to decide when the fluid will be ingested 2. frequent oral care 3. provide all fluid in the form of ice chips 4. provide fluids when the patient complains of thirst