How does the drug hydroxyurea benefit the client with sickle cell disease?
A. Prevents crises by stimulating the RBCs to synthesize more hemoglobin F
B. Prevents crises by decreasing blood viscosity and reducing vessel obstruction
C. Prevents anemia by stabilizing RBC plasma membranes
D. Prevents anemia by increasing cellular iron storage
A
Hydroxyurea (Droxia) has been successfully used to reduce the number of sickling and pain epi-sodes. Hydroxyurea works by stimulating fetal hemoglobin (Hgb F) production. Hgb F is present during fetal development, but production of Hgb F is turned off before birth. Increasing the level of Hgb F reduces sickling of red blood cells in persons with sickle cell disease.
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An elderly client has been experiencing urinary hesitancy and this has resulted in the client's bladder become overdistended with urine. What intervention should the nurse attempt before resorting to the insertion of a urinary catheter?
A) Increase the client's intake of low-pH fluids in order to stimulate bladder function. B) Encourage the client to perform some vigorous exercise. C) Run water from the tap in the client's room to stimulate the urge to void. D) Position the client in a side-lying position.
A nursing student asks you when formula feeding can begin on a patient you are caring for. The patient has just returned to your floor after having a PEG tube placed. What would be your best response?
A) First day after placement of tube B) Second day after placement of tube C) Third day after placement of tube D) Fourth day after placement of tube
The pregnant client is in her 21st week of pregnancy, and is planning a vacation with her family. She asks the nurse which method of travel would be recommended for her to use. How should the nurse respond? "The safest method of travel is to:
A. Take an automobile. B. Fly on an airplane. C. Travel by train. D. Not travel this late in pregnancy.
At 3 months postpartum, what proportion of women report at least one heath problem?
a. 55–65% b. 65–75% c. 75–85% d. 85–95%