Which intervention for the client with sickle cell disease prevents vascular occlusion?
A. Assessing pulse oximetry every 2 hours
B. Administering morphine sulfate every 6 hours
C. Keeping the room temperature at or below 68o F.
D. Maintaining an oral fluid intake of at least 4500 mL/day
D
Venous stasis causes vascular occlusion. Maintaining hydration prevents venous stasis and vas-cular occlusion.
You might also like to view...
The nurse is accurate when stating that adequate discharge planning:
a. "May decrease the incidence of patients required to return to the hospital." b. "Increases complications and readmissions in most cases." c. "Adapts to the situation as the patient's conditions changes." d. "Should begin as soon as the patient is discharged home."
The nurse is performing a neurological assessment on a client and has asked the client to smile, show the teeth, wrinkle the forehead and whistle. Which cranial nerve is the nurse assessing in this client?
a. VII c. XI b. IX d. XII
A child's anemia was caused by exposure to an insecticide. What advice would you give his parents on discharge from the hospital?
A) He should eat a high-protein diet to maintain his energy. B) He must return to the hospital for desensitization to the insecticide. C) He must not be further exposed to the insecticide. D) He will need to be administered a chelating agent weekly.
A hospital patient has attributed his long-standing struggle with depression to the fact that he was sexually abused by his father as a child and early adolescent
The patient has admitted to the nurse that he intends to seek out his father and "do some justice." What is the nurse's primary responsibility in response to the patient's threat? A) Document that the patient is experiencing delusions. B) Note the statement mentally but maintain silence to protect the patient's confidentiality. C) Inform the patient that threats of violence will not be tolerated in the health care facility. D) Report the patient's threat to the appropriate authorities.