A nurse is teaching home care instructions to parents of a child with sickle cell disease. Which instructions should the nurse include? Select all that apply

a. Limit fluid intake.
b. Administer aspirin for fever.
c. Administer penicillin as ordered.
d. Avoid cold and extreme heat.
e. Provide for adequate rest periods.


C, D, E
Parents should be taught to avoid cold, which can increase sickling, and extreme heat, which can cause dehydration. Adequate rest periods should be provided. Penicillin should be administered daily as ordered. The use of aspirin should be avoided; acetaminophen or ibuprofen should be used as an alternative. Fluids should be encouraged and an increase in fluid intake is encouraged in hot weather or when there are other risks for dehydration.

Nursing

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Everyone in a high school was very upset over the fact that one of the students had shot and killed another student. The nurse decided this was an appropriate time to establish a program to help prevent violence

Which of the following groups of students should receive the program first? a. Elementary school grades 4, 5, and 6 b. Grades 7, 8, and 9 c. High school grades 10, 11, and 12 d. The students who knew the victim and his assailant

Nursing

The patient with Parkinson's disease who has received ongoing therapy with dopaminergic drugs suddenly develops akinesia after a period of overall improvement in clinical status

Assess the following interpretations and choose the one that is applicable to this patient. a. The patient is now resistant to treatment with this type of drug. b. The patient is showing the "on-off phenomenon." c. The patient has developed an allergy to the drug. d. The patient has received too little of the drug over time.

Nursing

The nurse is concerned that an older client who lives with her son is at risk for psychopathology abuse. What assessment findings are consistent with this theory?

1. The son tends to yell at her if she does not fully assist him with her bathing. 2. The son does not allow her to go to any of her quilting group classes. 3. The son witnessed his mother endure frequent beatings from his father. 4. The son who she lives with drinks 10-12 beers every night of the week.

Nursing

Attempting to understand a culture from its own standards is called:

a. ethnocentrism. b. cultural relativism. c. prejudice. d. racism.

Nursing