Practice Exam 3 and Rationales • A 43-year-old African American male is admitted with sickle cell anemia. The nurse plans to assess circulation in the lower extremities every 2 hours. Which o... f the following out- come criteria would the nurse use? • A. Body temperature of 99°F or less • B. Toes moved in active range of motion • C. Sensation reported when soles of feet are touched • D. Capillary refill of < 3 seconds • A 30-year-old male from Haiti is brought to the emergency department in sickle cell crisis. What is the best position for this client? • A. Side-lying with knees flexed • B. Knee-chest • C. High Fowler’s with knees flexed • D. Semi-Fowler’s with legs extended on the bed • A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client? • A. Taking hourly blood pressures with mechanical cuff • B. Encouraging fluid intake of at least 200mL per hour • C. Position in high Fowler’s with knee gatch raised • D. Administering Tylenol as ordered • Which of the following foods would the nurse encourage the client in sickle cell crisis to eat? • A. Peaches • B. Cottage cheese • C. Popsicle • D. Lima beans Quick Answer: 224 Detailed Answer: 227 Quick Answer: 224 Detailed Answer: 227 Quick Answer: 224 [Show More]
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