Correct answer: (B) “I will avoid exercise.”

People with sickle cell disease (SCD) should not avoid exercise altogether, but they should be careful to avoid strenuous exercise or exercise in extreme temperatures, as this can trigger a sickle cell crisis.

The other answer choices are all correct self-management strategies for people with SCD.

Question 2

Correct answer: (C) Albuterol nebulizer

A client experiencing a severe asthma attack is in respiratory distress and needs immediate bronchodilation. Albuterol is a short-acting beta-2 agonist that is effective in relieving bronchospasm. It is typically administered via nebulizer, which delivers the medication directly to the lungs.

The other answer choices are not appropriate first-line interventions for a severe asthma attack. Sputum culture can be helpful in identifying the causative organism of an asthma attack, but it is not a time-sensitive intervention. Ipratropium bromide is a long-acting anticholinergic that can be used to prevent bronchospasm, but it is not as effective as albuterol in relieving acute bronchospasm. A chest x-ray may be helpful in ruling out other causes of respiratory distress, but it is not a time-sensitive intervention.

Question 3

Correct answer: (B) Protamine Sulfate

Protamine sulfate is a heparin antagonist that is used to reverse the anticoagulant effects of heparin. It is typically administered intravenously.

The other answer choices are not appropriate interventions for reversing the anticoagulant effects of heparin. Aspirin is an antiplatelet agent that can increase the risk of bleeding. Naloxone is an opioid antagonist that is used to reverse the effects of opioid overdose. Vitamin K is a cofactor for the production of clotting factors. It is typically used to reverse the anticoagulant effects of warfarin.

Question 4

Correct answers: (B) Tachypnea, (C) Orthopnea, (E) Persistent cough

Pulmonary edema is characterized by fluid accumulation in the lungs. This can lead to a number of clinical manifestations, including tachypnea (rapid breathing), orthopnea (difficulty breathing when lying down), a persistent cough, and thick, yellow sputum.

Increased urinary output is not a typical clinical manifestation of pulmonary edema.

Question 5

Correct answer: (A) Prepare to provide pain management and monitor for signs of shock.

Acute peripheral arterial occlusion is a serious condition that can lead to tissue death and limb loss. The nurse should prepare to provide pain management and monitor for signs of shock, such as hypotension, tachycardia, and tachypnea.

The nurse should also prepare to assist with thrombolytic therapy, which is the most effective treatment for acute peripheral arterial occlusion. Thrombolytic therapy involves administering medications that dissolve blood clots.

The other answer choices are not appropriate interventions for acute peripheral arterial occlusion. There is no role for antibiotics in the treatment of acute peripheral arterial occlusion. Elevation of the affected limb can be helpful in reducing pain and edema, but it is not a definitive treatment. Surgery may be necessary in some cases, but it is not the first-line treatment.

2000-word essay on the role of the nurse in the management of acute peripheral arterial occlusion

Acute peripheral arterial occlusion (APAO) is a serious condition that can lead to tissue death and limb loss. The nurse plays a vital role in the management of APAO by providing pain management, monitoring for signs of shock, and assisting with thrombolytic therapy.

Pain management

APAO can be extremely painful. The nurse should provide pain management using both pharmacological and non-pharmacological methods. Pharmacological pain management may include the use of opioids, nonsteroidal anti-inflammatory drugs (NSAIDs), and acetaminophen. Non-pharmacological pain management may include the use of ice packs, elevation of the affected limb, and massage.

Monitoring for signs of shock

APAO can lead to shock, which is a life-threatening condition. The nurse should monitor the client for signs of shock, such as hypotension, tachycardia, and tachypnea. If the client develops signs of shock, the nurse should notify the provider immediately.

Assisting with thrombolytic therapy

Thrombolytic therapy is the most effective treatment for APAO. Thrombolytic therapy involves administering medications that dissolve blood clots. The nurse should assist the provider with thrombolytic therapy by preparing the client for the procedure, monitoring the client for complications, and providing support to the client and family.

In addition to the above interventions, the nurse also plays an important role in educating the client and family about APAO and its management. The nurse should explain the condition to the client and family, and should answer any questions they may have. The nurse should also provide the client and family with instructions on how to manage the condition at home.