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and prunes (and other dried fruits), egg yolks, and dark-green leafy vegetables. Milk and cheese are high in calcium. Orange juice is high in vitamin C. Test-Taking Strategy: Use the process of elimination. Eliminate the options that are comparable or alike in that they are foods high in calcium. To select from the remaining options, recall that orange juice is high in vitamin C and eliminate this option. Review the foods high in iron if you had difficulty with this question. Level of Cognitive Ability: Applying Client Needs: Physiological Integrity Integrated Process: Teaching and Learning Content Area: Pediatrics References: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-child nursing (3rd ed., p. 1281). St. Louis: Elsevier. Nix, S. (2009). Williams’ basic nutrition and diet therapy (13th ed., p. 140). St. Louis: Mosby. Awarded 0.0 points out of 1.0 possible points. 31.ID: 383726880A nurse provides home care instructions to an adolescent with sickle cell disease about measures to prevent vaso-occlusive crisis. The nurse should tell the adolescent to: Restrict fluid intake Take ibuprofen (Motrin) for discomfort Correct
Take acetylsalicylic acid (aspirin) immediately if a fever develops Incorrect Be sure to spend plenty of time in the fresh air and sun each dayRationale: The adolescent with sickle cell disease is advised to take acetaminophen (Tylenol) or ibuprofen (Motrin) if discomfort occurs. The use of aspirin is avoided. The adolescent is instructed to contact the physician if a fever develops. Dehydration is avoided, and the adolescent is instructed to consume adequate fluids. Cold and heat stress and prolonged exposure to the sun are avoided because they can cause dehydration, which may precipitate a crisis. Test-Taking Strategy: Use the process of elimination. Recalling that pain can be precipitated by infection, dehydration, cold, or stress will direct you to the correct option. Review home care instructions for the client with sickle cell disease if you had difficulty with this question. Level of Cognitive Ability: Applying Client Needs: Physiological Integrity Integrated Process: Teaching and Learning Content Area: Pediatrics Reference: McKinney, E., James, S., Murray, S., & Ashwill, J. (2009). Maternal-child nursing (3rd ed., p. 1287). St. Louis: Elsevier. Awarded 0.0 points out of 1.0 possible points. 32.ID: 383726388A nurse reviewing the record of a child with suspected acute poststreptococcal glomerulonephritis notes that the child recently had a streptococcal throat infection that was treated with antibiotics. Which of the following physician prescriptions that will confirm the presence of acute poststreptococcal glomerulonephritis does the nurse expect to find? Throat culture Blood urea nitrogen (BUN)
Antistreptolysin (ASO) titer Correct White blood cell (WBC) count Incorrect Rationale: Immunologic studies are important in diagnosing acute poststreptococcal glomerulonephritis.