A nurse educator is teaching a group of parents how to prevent a ...

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A nurse educator is teaching a group of parents how to prevent a sickle cell crisis in the child with sickle cell disease. What should the nurse instruct about the precipitating factors that could contribute to a sickle cell crisis?
 
  Select all that apply.
  A) Increased fluid intake
  B) Altitude
  C) Fever
  D) Vomiting
  E) Regular exercise

Question 2

An Asian man brings his wife to the clinic and states, I want you to fix my wife and tell her that there is nothing wrong with her.
 
  The client has symptoms of pain, sleep disorders, and stiffness. Which would be most appropriate for the nurse to include in a plan of care for this family?
  A) Medications used to treat fibromyalgia
  B) An exercise program to increase energy
  C) Information and literature on fibromyalgia
  D) Suggested dietary changes to help with the pain

[coreycathey]

Answer to Question 1

Answer: B, C, D

Fever, vomiting, and altitude are some of the precipitating factors that contribute to a sickle cell crisis. Regular exercise and increased fluid intake are recommended activities for a child with sickle cell disease and will not contribute to a sickle cell crisis.

Answer to Question 2

Answer: C

In many cultures, accepting a disease like fibromyalgia may be difficult due to the vagueness of the disease. Information and written literature may help the family understand that the disease is real. The physician orders medication and diets. There is no proof that exercise, or lack thereof, causes fibromyalgia.