A client with sickle cell anemia is admitted with severe abdominal pain and the diagnosis is sickle cell crisis. What is the most important nursing action to implement?
A. limit the client's intake of oral fluids
B. teach the client about prevention of crises
C. evaluate the effectiveness of narcotic analgesics
D. encourage the client to ambulate as tolerated
Ans: C. evaluate the effectiveness of narcotic analgesics
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1. sight 2. smell 3. touch 4. all of the above
A patient has been taught about nutrition related to COPD. Which menu selection may indicate a need for further teaching?
a. Bagel and cream cheese b. Broiled chicken breast c. Beans and peas d. Tofu stir-fry
The neck should be inspected in a neutral straight position and:
A) In a flexed position. B) As the patient swallows. C) In a lateral position. D) As the patient holds his or her breath.
The nurse is assessing a female's breasts. The nurse finds both breasts rounded and slightly unequal in size, skin smooth and intact, and nipples without discharge. What is the nurse's next action?
A) Notify the physician. B) Document the findings in the nurse's notes as abnormal. C) Document the findings in the nurse's notes as normal. D) Notify the charge nurse.