Answer to Question 1
Answer: A
For the client with sickle cell disease, dehydration can lead to life-threatening consequences. The client's oral intake should be adjusted as necessary to keep the child well hydrated. Teach clients and parents how to monitor intake and output, and provide client teaching regarding fluid management. Playing outdoors in the sun can lead to dehydration, which can precipitate a crisis. Oxygen supply at high altitudes is too low for the client with sickle cell disease. The family should be taught to select low-altitude areas for vacation. Infection and illnesses with fever will increase the body's demand for oxygen, so it is important for the family to keep up with the child's immunization schedule.
Answer to Question 2
Answer: B, C, E
Treatment for fibromyalgia may include NSAIDs such as ibuprofen for pain, pregabalin (Lyrica), and aerobic exercise. Zolpidem (Ambien) is for producing sleep. Tenormin (Atenolol) is an antihypertensive drug.