A nurse is planning to provide education for a family who has a child with sickle-cell anemia. For the prevention of a sickle-cell crisis, the nurse teaches the family the importance of avoiding which condition?
1. Respiratory infection and dehydration
2. Midrange altitudes
3. Weight loss without dehydration
4. Overhydration
1
Rationale 1: The child with sickle-cell disease is at risk for infection, and dehydration can precipitate crisis.
Rationale 2: High altitudes with lower oxygen concentrations pose a risk; mid-altitude is not a risk factor.
Rationale 3: Weight loss is acceptable as long as hydration is maintained.
Rationale 4: Hydration should be encouraged; risk of overhydration is minimal.
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A patient has a disorder which causes progressive, severe muscle pain and weakness, and she has curtailed physical and social activities to accommodate her condition. She tells the nurse "I cannot do anything
I have to depend on other people to help me. I do not enjoy much of anything anymore; even food does not taste good. I cannot see that my situation will change, so I feel pretty hopeless.". The priority action the nurse should take is to: a. point out that there is always room for hope. b. discuss the importance of physical exercise. c. inquire about her support system and coping plans. d. assess for signs depression and risk for suicide.
While caring for a client who has chronic osteomyelitis and wound drainage, which intervention is most important for the nurse to implement?
a. Cover the wound with a dressing. b. Teach about the cause of the infection. c. Monitor the erythrocyte sedimentation rate (ESR). d. Prepare the client for hyperbaric oxygena-tion.
The nurse is teaching parents of preschool children consequences of inadequate sleep. What should the nurse include in the teaching session? (Select all that apply.)
a. Behavior changes b. Increased appetite c. Difficulty concentrating d. Poor control of emotions e. Impaired learning ability
The nursing student knows that the plan of care for a client with schizophrenia is developed with the goal of facilitating a higher level of functioning and an enriched quality of life. Priorities include: Select all that apply
A) Prevention of impaired thought processes. B) Inadequate verbal communication. C) Prevention of violence. D) Altered cognition. E) Compromised social relationships.