NUR 211 FINAL QUESTIONS AND CORRECT ANSWERS -GRADED A+

NUR 211 FINAL QUESTIONS AND CORRECT ANSWERS -GRADED A+ A nurse caring for a client with sickle cell disease (SCD) reviews the client's laboratory work. Which finding should the nurse report to the provider? A. Creatinine: 2.9 B. Hematocrit: 30% C. Sodium: 147 D. WBC: 12,000 - Correct Answer-A. Creatinine: 2.9 An elevated creatinine indicates kidney damage, which occurs in SCD. A hematocrit level of 30% is an expected finding, as is a slightly elevated white blood cell count. A sodium of 147, although slightly high, is not concerning A client hospitalized with sickle cell crisis frequently asks for opioid pain medications, often shortly after receiving a dose. The nurses on the unit believe the client is drug seeking. When the client requests pain medication, what action by the nurse is best? A. Give the client pain medication if it is time for another dose. B. Instruct the client not to request pain medication too early. C. Request the provider to leave a prescription for a placebo D. Tell the client it is too early to have more pain medication - Correct Answer-A. Give the client pain medication it it is time for another dose. Clients with sickle cell crisis often have severe pain that is managed with up to 48 hours of IV opioid analgesics. Even if the client is addicted and drug seeking, he or she is still in extreme pain. If the client can receive another doe of medication, the nurse should provide it, The other options are judgmental and do not address the client's pain. Giving placebos is unethical. A client in sickle cell crisis is dehydrated and in the emergency department. The nurse plans to start an IV. Which fluid choice is best? A. 0.45% normal saline B. 0.9% normal saline C. Dextrose 50% (D50) D. Lactated Ringers solution - Correct Answer-A. 0.45% normal saline Because clients in sickle cell crisis are often dehydrated, the fluid of choice is a hypotonic solution such as 0.45% normal saline. ).9% normal saline and lactated ringers solution are isotonic. D50 is hypertonic and not used for hydration. A client presents to the emergency department in sickle cell crisis. What intervention by the nurse takes priority? A. Administer oxygen B. Apply an oximetry probe C. Give pain medication D. Start an IV line - Correct Answer-A. Administer oxygen All actions are appropriate, but remembering the ABCs, oxygen would come first. The main problem in a sickle cell crisis is tissue and organ hypoxia, so providing oxygen helps halt the process. A client has a sickle cell crisis with extreme lower extremity pain. What comfort measure does the nurse delegate to the UAP? Continues...