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kzabec kzabec
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Posts: 536
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6 years ago
Which statement by a patient indicates good understanding of the nurse's teaching about prevention of sickle cell crisis?
 
  a. Home oxygen therapy is frequently used to decrease sickling.
  b. There are no effective medications that can help prevent sickling.
  c. Routine continuous dosage narcotics are prescribed to prevent a crisis.
  d. Risk for a crisis is decreased by having an annual influenza vaccination.

Question 2

It is important for the nurse providing care for a patient with sickle cell crisis to
 
  a. limit the patient's intake of oral and IV fluids.
  b. evaluate the effectiveness of opioid analgesics.
  c. encourage the patient to ambulate as much as tolerated.
  d. teach the patient about high-protein, high-calorie foods.

Question 3

Which collaborative problem will the nurse include in a care plan for a patient admitted to the hospital with idiopathic aplastic anemia?
 
  a. Potential complication: seizures
  b. Potential complication: infection
  c. Potential complication: neurogenic shock
  d. Potential complication: pulmonary edema

Question 4

Which patient statement to the nurse indicates a need for additional instruction about taking oral ferrous sulfate?
 
  a. I will call my health care provider if my stools turn black.
  b. I will take a stool softener if I feel constipated occasionally.
  c. I should take the iron with orange juice about an hour before eating.
  d. I should increase my fluid and fiber intake while I am taking iron tablets.

Question 5

An appropriate nursing intervention for a hospitalized patient with severe hemolytic anemia is to
 
  a. provide a diet high in vitamin K.
  b. alternate periods of rest and activity.
  c. teach the patient how to avoid injury.
  d. place the patient on protective isolation.
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Replies
wrote...
6 years ago
The answer to question 1

ANS: D
Because infection is the most common cause of a sickle cell crisis, influenza, Haemophilus influenzae, pneumococcal pneumonia, and hepatitis immunizations should be administered. Although continuous dose opioids and oxygen may be administered during a crisis, patients do not receive these therapies to prevent crisis. Hydroxyurea (Hydrea) is a medication used to decrease the number of sickle cell crises.

The answer to question 2

ANS: B
Pain is the most common clinical manifestation of a crisis and usually requires large doses of continuous opioids for control. Fluid intake should be increased to reduce blood viscosity and improve perfusion. Rest is usually ordered to decrease metabolic requirements. Patients are instructed about the need for dietary folic acid, but high-protein, high-calorie diets are not emphasized.

The answer to question 3

ANS: B
Because the patient with aplastic anemia has pancytopenia, the patient is at risk for infection and bleeding. There is no increased risk for seizures, neurogenic shock, or pulmonary edema.

The answer to question 4

ANS: A
It is normal for the stools to appear black when a patient is taking iron, and the patient should not call the doctor about this. The other patient statements are correct.

The answer to question 5

ANS: B
Nursing care for patients with anemia should alternate periods of rest and activity to encourage activity without causing undue fatigue. There is no indication that the patient has a bleeding disorder, so a diet high in vitamin K or teaching about how to avoid injury is not needed. Protective isolation might be used for a patient with aplastic anemia, but it is not indicated for hemolytic anemia.
kzabec Author
wrote...
6 years ago
Smiling Face with Glasses Feeling super confident now, TY
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