A 10-year-old African American boy with a known history of sickle cell disease presents to the emergency department with sudden abdominal pain and distension. His mother reports that he has been lethargic and pale for the past few hours. On examination, he is tachycardic, hypotensive, and has a markedly enlarged spleen. Laboratory tests reveal a significant drop in hemoglobin and platelet count. The patient is admitted for a splenectomy and stabilization of his sickle cell disease. Which of the following treatments will lower fetal HgbF, decrease mortality and morbidity, and decrease hospitalizations by 50%?

The nurse assigned to care for multiple clients is reviewing the laboratory reports. Based on the information provided, in which sequence should the nurse assess the clients? Prioritize the order in which the nurse should plan to assess the clients. The client with renal insufficiency whose serum potassium level is 5.2 mEq/L The client with hyperemesis whose serum sodium level is 122 mEq/L The client recovering following head trauma whose serum osmolality is 290 mOsm/kg The client with DM whose ABG results are pH = 7.22, PaCO2 = 35 mm Hg, HCO3 = 15 mEq/L

The nurse is to administer cefazolin sodium in 1g 100mL 0.9% NaCl over 30 minutes. At what rate in mL/hr should the nurse plan to set up the infusion pump? Round to the nearest whole number  

A client newly diagnosed with deep vein thrombosis (DVT) of the left lower left extremity is on bed rest. What should the nurse instruct the certified nursing assistant (CNA) providing routine morning care for the client to do?

The primary nurse is applying antiembolism hose to the client postoperative total hip replacement. Which situation warrants immediate intervention by the charge nurse?

On the second postoperative day, the patient’s nasogastric (NG) tube is removed, and the patient begins drinking clear liquids. Four hours later, the patient reports frequent, cramping gas pains. Which action would the nurse take?

The new nurse, caring for the client with respiratory acidosis, tells the mentor that the client’s ABG results show that the client’s kidneys have compensated for the imbalance. Which are the values the new nurse identified that indicate compensation?

The nurse is initiating an IV infusion of lactated Ringer’s (LR) for the client in shock. What information should the nurse provide when explaining the purpose of LR for this client?  

The nurse observes a nursing student prepare and administer medications. Which action by the nursing student warrants the nurse’s intervention?

When Roosevelt referred to “a date which will live in infamy”, he was referring to the Japanese attack on what US base?