The parents of a child diagnosed with sickle cell anemia ask what to do to avoid a sickle cell crisis. The nurse explains that the medical management of sickle cell crisis includes:
a. information for the parents including home care.
b. providing adequate hydration and pain management.
c. pain management and administration of iron supplements.
d. adequate oxygenation and factor VIII.
B
Medical management of sickle cell crisis includes palliative analgesics, hydration, and oxygen.
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In which environment does the nurse require some level of creativity because of a limitation of equipment and supplies?
a. Adult day care b. Hospice c. Home care d. Retirement communities
A client tells the nurse that he believes he will learn to manage his illness and will continue to live a productive life. The nurse realizes that this client's positive self-esteem is evidence of:
1. external locus of control. 2. self-efficacy. 3. pity. 4. hopelessness.
After giving birth to a stillborn infant, the woman turns to the nurse and says, "I just finished painting the baby's room. Do you think that caused my baby to die?" The nurse's best response to this woman is:
a. "That's an old wives' tale; lots of women are around paint during pregnancy, and this doesn't happen to them." b. "That's not likely. Paint is associated with elevated pediatric lead levels." c. Silence. d. "I can understand your need to find an answer to what caused this. What else are you thinking about?"
A nurse presents a class on food choices to clients at-risk for developing diabetes. Which statements by the clients indicate that teaching was successful?
A) "I should increase my intake of nuts, and decrease my intake of whole milk." B) "If I replace just 5% of saturated fats to monounsaturated, I lower my risk of developing CVD." C) "Monounsaturated fats come from soybeans, corn, flaxseeds, and salmon." D)"A 20% of body fat has been associated with a risk for diabetes in women and men." E) "I should stop eating papaya because the fat in just one meets my daily requirement."