A client with sickle cell anemia has "Pain related to thrombotic crisis" as a nursing diagnosis. Which of the following is the most appropriate nursing intervention for this diagnosis?

Explain disease course and expected signs and symptoms to the family.

Check peripheral pulses, color, and temperature of extremities every 30 hours.

Reposition the client, paying close attention to proper body alignment.

Provide active range of motion (ROM) every 2 hours.

Answer and Explanation

The Correct Answer is C

A.   Explain disease course and expected signs and symptoms to the family. While education is essential, it is not directly related to addressing the acute pain associated with thrombotic crisis.
B.   Check peripheral pulses, color, and temperature of extremities every 30 hours. This intervention is important for assessing peripheral perfusion but may not directly address the acute pain associated with thrombotic crisis.
C.   Reposition the client, paying close attention to proper body alignment. Repositioning the client to ensure proper body alignment can help alleviate pressure points and discomfort associated with thrombotic crisis.

D. Provide active range of motion (ROM) every 2 hours. While ROM exercises are important for preventing complications such as joint stiffness, they may not directly address the acute pain associated with thrombotic crisis.

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Correct Answer is C

Explanation

A. Vitamin C is not known to cause bone marrow suppression. In fact, it is essential for the proper function of the immune system and the production of collagen.
B. Physical exercise does not cause bone marrow suppression. Regular exercise can have positive effects on bone health and overall well-being.
C. Chemotherapy, which is used to treat cancer, can cause bone marrow suppression as a side effect. It affects rapidly dividing cells, including those in the bone marrow responsible for producing blood cells.
D. Some antibiotics, such as certain types of penicillins and sulfonamides, can rarely cause bone marrow suppression as a side effect. However, this is not a common effect of all antibiotics.

A. "Dietary supplements have not been tested and approved by the government." B. "Dietary supplements may be expensive and are not typically covered by insurance." C. "There is not enough evidence that dietary supplements are effective for erectile dysfunction." D. "Dietary supplements can cause a drug-drug interaction with nitrates."

Correct Answer is D

Explanation

A. "Dietary supplements have not been tested and approved by the government." While this statement may be true, it is not directly related to the potential interaction between dietary supplements and nitroglycerin.

B. "Dietary supplements may be expensive and are not typically covered by insurance." While cost considerations are important, they are not directly related to the potential interaction
between dietary supplements and nitroglycerin.
C. "There is not enough evidence that dietary supplements are effective for erectile dysfunction."
While this statement may be true, it is not directly related to the potential interaction between dietary supplements and nitroglycerin.
D. "Dietary supplements can cause a drug-drug interaction with nitrates." Nitroglycerin is a medication commonly used for angina, and it interacts with erectile dysfunction medications
such as sildenafil (Viagra) due to its vasodilatory effects, potentially causing severe hypotension.
Therefore, it is crucial for the nurse to educate the client about the risk of interactions between dietary supplements and nitroglycerin.

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A client with sickle cell anemia has "Pain related to thrombotic crisis" as a nursing diagnosis. Which of the following is the most appropriate nursing intervention for this diagnosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following can cause bone marrow suppression?

Correct Answer is C

Explanation

A nurse is providing teaching about dietary supplements to a client who has erectile dysfunction and has been prescribed nitroglycerin. Which of the following statements is the most important for the nurse to include in the teaching?

Correct Answer is D

Explanation

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