When providing patient teaching for a 30-year-old primigravida ...

[hbsimmons88]

When providing patient teaching for a 30-year-old primigravida diagnosed with sickle cell anemia, but not currently in crisis, the priority teaching point is what?
 
  A) Avoidance of infection
  B) Constipation prevention
  C) Control of pain
  D) Iron-rich foods

Question 2

A nurse is caring for a stroke victim in the intensive care unit. The nurse notices a cold sore and requests medication. Docosanol (Abreva) is ordered. Before applying the medication, the nurse would first?
 
  A) Clean the area to be treated and then pat it dry.
  B) Assess the area for open lesions or abrasions.
  C) Put gloves on to protect herself.
  D) Prepare applicator for drug administration.

[lauravaras]

Answer to Question 1

A
Feedback:
Severe, acute episodes of sickling with blood vessel occlusion may be associated with acute infections and the body's reactions to the immune and inflammatory responses. Avoidance of infection is, then, a priority teaching point. Pain would be a concern only if the patient is in crisis. Constipation prevention and iron-rich foods would not be the priority at this time.

Answer to Question 2

B
Feedback:
The nurse would assess the area first to make sure no open lesions or abrasions could allow for systemic absorption of the drug. Then the nurse would clean the area and pat it dry. The nurse may apply the medication using gloves or an applicator.

[hbsimmons88]

Thanks for the timely response, appreciate it

[Sarahjh]

TYSM