Which teaching topic should the nurse include in the discharge instructions for the family of child diagnoses with sickle-cell disease to prevent crisis?
1. Respiratory infection and dehydration
2. Mid-range altitudes
3. Weight loss without dehydration
4. Overhydration
1
Explanation:
1. The child with sickle-cell disease is at risk for infection, and dehydration can precipitate crisis.
2. High altitudes with lower oxygen concentrations pose a risk; mid-altitude is not a risk factor.
3. Weight loss is acceptable as long as hydration is maintained.
4. Hydration should be encouraged; risk of overhydration is minimal.
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A nurse assesses a client with anterior pituitary hyperfunction. Which clinical manifestations should the nurse expect? (Select all that apply.)
a. Protrusion of the lower jaw b. High-pitched voice c. Enlarged hands and feet d. Kyphosis e. Barrel-shaped chest f. Excessive sweating
During the assessment of an adult client's blood pressure, the nurse notes the following on the sphygmomanometer:
first faint tapping sounds at 136, swishing sounds at 120, clear tapping sounds at 108, muffled sounds at 98, and silence at 76. This nurse would document this client's blood pressure as _____________. Record your answer as a fraction.
Which statement regarding a pathologic fracture is true?
A. A pathologic fracture results from minimal trauma to a bone weakened by disease. B. A pathologic fracture occurs when a bone is broken and pierces the skin. C. A pathologic fracture is a painless fracture of the hand digits. D. A pathologic fracture is produced by a loading force on bones in the vertebral column.
An AED has been applied and a shock delivered to a patient. What action should the nurse take at this time?
a. Provide 2 minutes of cardiopulmonary resuscitation (CPR) before beginning rhythm analysis and the shock sequence again. b. Provide three cycles of CPR before be-ginning rhythm analysis and the shock sequence again. c. Move nearby furniture away from the pa-tient. d. Announce "clear" and perform a visual check that no one is touching the patient.