The nurse is caring for a 5-year-old male African American client who complains of severe pain in his arms and legs and stomach. The nurse notes that the client has jaundice, fever, dyspnea, and swelling of the hands and feet

What blood disorder would the nurse suspect? A) Leukemia
B) Anemia
C) Sickle cell disease
D) Idiopathic thrombocytopenia purpura (ITP)


C
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Sickle cell disease occurs in about 1 of 5,000 Americans of African descent. Symptoms of crisis include severe and unpredictable pain in the extremities and abdomen, jaundice, skin irritation and ulceration, fever, dyspnea, cough, swelling of the hands and feet, and increased infections. Signs of leukemia include fevers, malaise, anorexia, fatigue, bone pain, bruising, and bleeding. Signs and symptoms of anemia relate to the loss of oxygen-carrying capacity, the severity of hypoxia, and the causative factors. Early signs of ITP may include bruises and low platelet counts, petechiae, headache, pain, and swelling, as well as any abnormal bleeding.

Nursing

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The actions of the family members of an older adult who just died are chaotic, and they are unable to decide on a funeral home. Which recommendation should the nurse implement?

a. Help them make a list of the problems. b. Provide a list of preferred funeral homes. c. Allow them privacy to work it out alone. d. Suggest they call someone who can help.

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A nurse is assessing the reading on a volume-control set when administering an IV drug to a client. Which of the following functions is performed by a volume-control set?

A) Eliminates the need for an additional bag of fluid B) Administers a large volume of solution C) Allows instant access to the venous system D) Holds solution from a smaller container

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An important age-related consideration the nurse should include in the care plan for an elderly client with a seizure disorder is

a. a decreased serum albumin level can increase the free plasma level of medications. b. fortunately, seizure medications have very few drug-drug interactions. c. older adults have very few choices when it comes to seizure medications. d. the elderly rarely have seizure disorders, so community support for them is poor.

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Families progress through various stages of reactions when a child is diagnosed with a chronic illness or disability. After the shock phase, a period of adjustment usually follows. This is often characterized by what response?

a. Denial b. Guilt and anger c. Social reintegration d. Acceptance of the child's limitations

Nursing