A 25-year-old black woman presents with fever and severe pain in her lower back and legs. She reports being upset and having flown a long distance yesterday. Tests reveal that she is anemic. Which is the first diagnosis you might consider?
a. Infection
b. Sickle cell anemia
c. TIA
d. None of the above
B
Sickle cell anemia is a chronic inherited disease in which structurally defective hemoglobin molecules lead to hemolysis, anemia, and pain in areas of the body where the defective red blood cells block normal blood flow. It occurs mostly in blacks and in some people from the Mediterranean region. In people with sickle cell anemia, a crisis may be triggered by changes in altitude, dehydration, and infection. The patient's ethnicity, symptoms, and laboratory test results should suggest the possibility of sickle cell anemia more than TIA or infection.
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The nurse is teaching the patient how to reduce risk for coronary artery disease (CAD). What condition does the nurse encourage the patient to control in order to reduce CAD risk? (Select all that apply.)
A) Obesity B) Hypertension C) Bradycardia D) Depression E) High stress levels
The nurse is providing care for a young adult female who is experiencing pelvic inflammatory disease (PID). The client tells the nurse that she and her husband have just decided to try to have a baby. What should the nurse review with this client?
1. The need to refrain from intercourse for the next 6 months 2. The sequelae of PID 3. The medication side effects 4. The possibility that the husband caused the STI
A nursing student is describing the Chinese American philosophy of yin and yang in a post-conference. The student describes how foods are classified using this belief system
Which of the following statements correctly describes the yin and yang food correlation? a. Yang foods are cold. b. Yin foods are hot. c. Cold foods are consumed when a hot illness is present. d. Yin and yang relates to energy, not food.
You are conducting a class on how to self-manage insulin regimens. A patient asks you how long a vial of insulin can be stored at room temperature before it "goes bad." What would be your best answer?
A) If you are going to use up the vial within 1 month it can be kept at room temperature. B) If a vial of insulin will be used up within 21 days, it may be kept at room temperature. C) If a vial of insulin will be used up within 2 weeks, it may be kept at room temperature. D) If a vial of insulin will be used up within 1 week, it may be kept at room temperature.