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 D

Explanation

A) This choice is incorrect because coffee contains substances that can inhibit iron absorption.

B) This choice is incorrect because tea, especially black tea, contains tannins that can hinder iron absorption.

C) This choice is incorrect because water does not enhance iron absorption.

D) This choice is correct. Orange juice, or any other vitamin C-rich beverage, enhances the absorption of non-heme iron found in supplements and plant-based foods.

A. With meals B. On an empty stomach C. At bedtime D. Simultaneously with calcium supplements

Correct Answer is B

Explanation

A. With meals
Taking ferrous sulfate with meals may reduce its absorption because food, particularly dairy products and certain medications, can interfere with iron absorption.

B. On an empty stomach
Ferrous sulfate is best absorbed on an empty stomach, as food can inhibit iron absorption. However, if gastrointestinal irritation occurs, it may be taken with a small amount of food.

C. At bedtime
Taking iron supplements at bedtime is not ideal because it can cause gastrointestinal discomfort, which may interfere with sleep.

D. Simultaneously with calcium supplements
Calcium supplements can interfere with the absorption of iron, so they should not be taken at the same time as ferrous sulfate. It is recommended to space them out by at least 2 hours.

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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 client with anemia is prescribed oral iron supplements. The nurse advises the client to take the supplements with which beverage to enhance iron absorption?

Correct Answer is D

Explanation

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

Correct Answer is B

Explanation

A client with anemia is undergoing diagnostic evaluation. The nurse anticipates that which laboratory test will be ordered to assess the body's iron stores?

A client with chronic kidney disease and anemia is prescribed erythropoiesis-stimulating agents (ESAs) as part of the treatment plan. The nurse educates the client about the importance of which parameter during ESA therapy?

A nurse is caring for a client with pernicious anemia. Which of the following statements made by the client demonstrates an understanding of the condition?

A client presents with fatigue, weakness, and a red, sore tongue. A nurse suspects the client may have a specific type of anemia. Which type is most likely based on these findings?

A client is receiving epoetin alfa therapy as part of the management of anemia. The nurse should monitor the client for which potential side effect of this medication?

A client with anemia is receiving erythropoiesis-stimulating agents (ESAs) to promote red blood cell production. The nurse should monitor the client for which adverse effect related to ESA therapy?

A client with anemia presents with pallor of the skin and mucous membranes. The nurse should assess for which other related clinical manifestation?

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