In a client with sickle cell anemia, why does the nurse auscultate the lungs and heart?
A) To detect the abnormal sounds suggestive of acute chest syndrome and heart failure
B) To detect the evidence of infection such as fever and tachycardia
C) To detect the evidence of dehydration that might have triggered a sickle cell crisis
D) To detect the motor strength and stroke-related signs and symptoms
A
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The nurse is preparing a patient for an ECG. Which of the following should be done prior to electrode placement?
A) Cleaning the skin with povidone-iodine solution prior to applying the electrodes B) Ensuring that the area for electrode placement is dry C) Applying tincture of benzoin to the electrode sites and waiting for it to become "tacky" D) Abrading the skin by rubbing the electrode sites briskly with a rough surface such as a clean, dry gauze or washcloth
A school-age child with a history of asthma has brought a note home from school stating that there has been one case of meningitis (Neisseria meningitides) in the school
Since the mother is a nurse, she is very concerned since she knows the portal of entry of this pathogen is A) by inhalation via the respiratory tract such as through breathing or yawning. B) by direct contact with a contaminated object such as a pencil. C) by ingestion such as when children share their drink with their friends. D) through a cut or abrasion that may occur on the playground.
The nurse is assessing a patient's spirituality. What does the nurse recognize as one of the most important aspects of a belief system, according to Sharon Parks?
1. It is based on a foundation of truth and evidence as proved by science. 2. It is based on a foundation that is strong enough to handle the changes in religious beliefs. 3. It is based on a foundation that is strong enough to handle the changes and challenges of life. 4. It is based on a foundation of religious belief and practices as performed by those who follow it.
The nurse is preparing to implement the prescription orders for a 13-year-old client with a mood disorder. The orders include gabapentin (Neurontin). The nurse should:
A) Instruct the client to remain on the medication for one year. B) Call the prescriber. C) Be concerned about an increase in suicidal behaviors. D) Expect symptom improvement within three weeks.