A client who has sickle cell anemia is admitted to the hospital. The client reports severe pain. Which action does the nurse take first?
a. Administer one unit of packed red blood cells.
b. Administer prescribed hydroxyurea (Droxia).
c. Begin intravenous fluids at 250 mL/hr.
d. Prepare for bone marrow transplantation.
C
All of these are treatments for sickle cell anemia. However, the client in severe pain is likely to be in sickle cell crisis. To prevent further sickling of the red blood cells, adequate hydration of at least 200 mL/hr is needed during a crisis. The other interventions should be implemented after the fluids are started.
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A 74-year-old woman has been recently diagnosed with osteoporosis and has made a follow-up appointment with her care provider at the encouragement of her daughter
The patients states that her daughter has recommended that she ask about hormone therapy as a treatment for osteoporosis. The nurse at the clinic should understand which of the following facts about hormone replacement therapy (HRT) for the treatment of osteoporosis? A) The potential adverse effects of HRT are now believed to exceed therapeutic benefits. B) The therapeutic benefits of HRT have been found to be overstated in the literature. C) HRT remains a key intervention in the treatment of mild to moderate osteoporosis. D) HRT is now seen as safer alternative to other pharmacological interventions.
The number 564 would be written in Roman numerals as:
1. CCIV. 2. DMLIV. 3. DLXIV. 4. MLIV.
A client has been treated for pediculosis capitis and is concerned about spreading the infestation. The nurse explains that it can be spread:
A) through sexual activity. B) by sharing personal hygiene items. C) through your clothing and bed linens. D) by sharing drinks and eating utensils.
The client with dysphagia is filling out his menu for the following day. What would be a good choice for breakfast for this client?
A) Peanut butter on toast C) Bananas B) Pecan waffles D) Scrambled eggs