Which of these instructions should the nurse give to parents of children who have sickle-cell anemia?
a. Allow the child to lead a normal life.
b. Have the child immunized with pneumococcal, meningococcal, and hepatitis B vaccines.
c. Supplement the child's diet with oral iron drops.
d. Seek symptomatic treatment before crises arise.
B
Sickle cell anemia is a genetic disorder. Red blood cells sickle when the child has an infection, dehydration, hypoxia, trauma, or general physical or emotional stress. Common symptoms include abdominal pain, fever, severe leg pain, and hot, swollen joints. High altitudes, poorly pressurized airplanes, and exposure to heat and cold must be avoided.
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What factor does the nurse recognize as the greatest contributing factor to poor outcomes for patients with anorexia nervosa?
1. The patient resents or refuses treatment. 2. There are limited treatments for this condition. 3. Changes in the patient's behavior are irreversible. 4. Treatment approaches are fragmented and controversial.
Which recommendation should the nurse make to a client to initiate the milk ejection reflex?
a. Wear a well-fitting firm bra. b. Drink plenty of fluids. c. Place the infant to the breast. d. Apply cool packs to the breast.
The model that emphasizes the participation of key personnel and the change agent in designing and planning the intended change project is:
a. force-field model. b. phases of change model. c. six-step change model. d. diffusion of innovations theory of change model.
The patient with a corneal transplant asks how long he must wear the eye shield at night. The nurse instructs the patient that he should wear the shield for at least what period of time?
a. 1 month b. 2 months c. 6 months d. 1 year