A client with sickle cell anemia is experiencing a vaso-occlusive crisis. Which intervention should the nurse implement first?

Administering pain medication

Applying warm compresses

Increasing fluid intake

Initiating oxygen therapy

Answer and Explanation

The Correct Answer is D

A) This choice is incorrect because administering pain medication addresses the pain associated with the vaso-occlusive crisis, but the priority is to improve oxygenation first.

B) This choice is incorrect because warm compresses may provide comfort, but they do not directly address the underlying issue of vaso-occlusion and oxygen deficiency.

C) This choice is incorrect because although increasing fluid intake can help improve blood flow, it does not take precedence over addressing the oxygen deficiency.

D) This choice is correct because initiating oxygen therapy is the first priority in managing a vaso-occlusive crisis in a client with sickle cell anemia. It helps improve oxygenation and tissue perfusion, which are crucial during this crisis.

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Correct Answer is C

Explanation

A) This choice is incorrect because hemolytic anemia is characterized by an increased destruction of red blood cells, which would typically result in a high reticulocyte count.

B) This choice is incorrect because iron-deficiency anemia is characterized by a low level of iron, which leads to decreased hemoglobin production but does not necessarily affect reticulocyte count.

C) This choice is correct. Aplastic anemia is characterized by the failure of the bone marrow to produce an adequate number of red blood cells, leading to a low reticulocyte count.

D) This choice is incorrect because pernicious anemia is caused by a deficiency in vitamin B12, which affects red blood cell maturation but does not directly influence reticulocyte count.

A. Iron-deficiency anemia B. Hemolytic anemia C. Pernicious anemia D. Aplastic anemia

Correct Answer is A

Explanation

A) This choice is correct. Headaches and dizziness are common symptoms of iron-deficiency anemia due to decreased oxygen delivery to the brain.

B) This choice is incorrect because headaches and dizziness are not specific to hemolytic anemia.

C) This choice is incorrect because pernicious anemia is primarily associated with neurological symptoms such as tingling and difficulty maintaining balance, but not specifically headaches and dizziness.

D) This choice is incorrect because headaches and dizziness are not directly related to aplastic anemia. Aplastic anemia primarily affects the bone marrow and leads to decreased production of all blood cells, rather than causing symptoms specific to the brain.

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A client with sickle cell anemia is experiencing a vaso-occlusive crisis. Which intervention should the nurse implement first?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is caring for a client with a low reticulocyte count. Which type of anemia is most likely to be associated with this finding?

Correct Answer is C

Explanation

A client with anemia is experiencing headaches and dizziness. A nurse should suspect which type of anemia?

Correct Answer is A

Explanation

A nurse is teaching a client with iron-deficiency anemia about dietary sources of iron. Which food items should the nurse recommend? Select all that apply.

A client with anemia is receiving packed red blood cell (PRBC) transfusions. The nurse should prioritize which action during the transfusion process?

A nurse is assessing a client diagnosed with anemia. Which of the following statements about anemia is correct?

A client with anemia is prescribed ferrous sulfate supplements. A nurse should instruct the client to take the supplement:

A nurse is reviewing a client's laboratory results and finds a low mean corpuscular volume (MCV). Which type of anemia does this finding suggest?

A nurse is caring for a client diagnosed with iron-deficiency anemia. The client asks the nurse about dietary changes to improve their condition. Which food item should the nurse recommend to the client to increase their iron intake?

A nurse is caring for a client with sickle cell anemia during a vaso-occlusive crisis. Which of the following clinical manifestations is most likely to be observed during this crisis?

A nurse is reviewing laboratory results for a client with microcytic and hypochromic red blood cells. Which type of anemia does this finding suggest?