When the 14-year-old African American boy comes into the emergency room in sickle cell crisis, what should be the primary focus of care?
a. Instruct patient about transfusion procedure
b. Starting of IV fluids
c. Pain control
d. Relief of dyspnea
ANS: C
Pain control during the crisis is the focus. Continuous opioids are the mainstay of pain management. Certainly IV fluids to reduce viscosity of blood and oxygen for relief of dyspnea are important, but pain control is paramount in the acute phase.
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A 28-year-old woman is planning to be part of a mission team going to Central Africa. She will take mefloquine (Lariam) once a week, beginning 1 week before traveling to Africa until 4 weeks after leaving Africa
What precaution will the nurse teach this patient is needed? A) "Avoid excessive weight gain." B) "Have regular cancer screening." C) "Use contraceptives to avoid pregnancy." D) "Stop the medication if diabetes is diagnosed."
Which client status is an acceptable indication for serial oxytocin induction of labor?
a. Past 42 weeks of gestation b. Multiple fetuses c. Polyhydramnios d. History of long labors
The nurse interviewed a client who participated reluctantly, answering questions with minimal
responses and rarely making eye contact with the nurse. When documenting the baseline data obtained during the interview the nurse should include a. only data obtained from client verbal responses. b. a disclaimer that the client was uncooperative and provided minimal data. c. both the content derived from client subjective responses and a description of the client's behavior during the interview. d. speculation regarding the reason the client was unwilling to respond openly during the interview.
The nurse is providing discharge instructions to the client being prescribed antipsychotic medications. Which discharge instruction will be included? Select all that apply
A) Stop the medication for any side effects. B) Double the next dose if you forget one dose. C) Talk to the physician before purchasing herbal medications. D) Take all antipsychotic medications as directed. E) Notify the physician if you have hypertension or severe muscle stiffness.