A client with sickle cell disease is experiencing a sickling crisis.
What interventions should the nurse prioritize when providing care for this client?

Administering pain medication as prescribed.

Encouraging the client to engage in intense physical activity.

Keeping the room at a very low temperature.

Encouraging the client to smoke to relieve pain.

Answer and Explanation

The Correct Answer is A

Administering pain medication as prescribed.

Choice A rationale:

Administering pain medication as prescribed is the highest priority when caring for a client experiencing a sickling crisis in sickle cell disease.

Sickle cell crises are characterized by severe pain due to vaso-occlusion, and the nurse's primary responsibility is to alleviate this pain.

Pain medication helps to relieve the suffering and improve the client's overall comfort.

It is crucial to administer medication promptly to prevent further complications and distress.

Choice B rationale:

Encouraging the client to engage in intense physical activity is not an appropriate intervention during a sickling crisis.

Physical activity can exacerbate the crisis by increasing oxygen demand, which may worsen tissue hypoxia.

It is essential to encourage rest and limit physical exertion to minimize the risk of complications.

Choice C rationale:

Keeping the room at a very low temperature is not a recommended intervention for a sickle cell crisis.

Cold temperatures can cause vasoconstriction, which may further worsen vaso-occlusion.

Maintaining a warm and comfortable environment is more suitable to help ease the client's pain and discomfort.

Choice D rationale:

Encouraging the client to smoke to relieve pain is not a safe or appropriate intervention.

Smoking can lead to vasoconstriction and worsen the client's condition.

It is essential to promote healthy behaviors and provide effective pain management rather than suggesting harmful practices like smoking.

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Correct Answer is ["A","C","D"]

Explanation

Choice A rationale:

"Increasing fluid intake to stay hydrated.”.

Staying hydrated is an important self-care strategy for individuals with sickle cell disease.

Dehydration can increase the risk of vaso-occlusive crises and other complications.

Adequate fluid intake helps to prevent the excessive sickling of red blood cells, which can block blood vessels.

Choice B rationale:

"Engaging in regular strenuous physical exercise.”.

Engaging in regular strenuous physical exercise is not an appropriate self-care strategy for individuals with sickle cell disease.

Intense exercise can increase the risk of vaso-occlusive crises and should be done with caution.

Low-impact, moderate exercise may be more suitable for these individuals.

Choice C rationale:

"Avoiding extreme temperature conditions.”.

Avoiding extreme temperature conditions is a sensible self-care strategy for individuals with sickle cell disease.

Extreme cold or heat can trigger vaso-occlusive crises and other complications.

Maintaining a comfortable temperature can help prevent these issues.

Choice D rationale:

"Taking prescribed medications as directed.”.

Taking prescribed medications as directed is crucial for managing sickle cell disease.

This may include medications to manage pain, prevent infections, and reduce complications.

Adhering to the prescribed treatment plan is essential for improving the quality of life and preventing crises.

Choice E rationale:

"Smoking tobacco to alleviate pain.”.

Smoking tobacco is not an appropriate self-care strategy for individuals with sickle cell disease.

Smoking can worsen the condition and increase the risk of complications.

It is important to avoid smoking and any other activities that can harm the lungs or blood vessels in individuals with sickle cell disease.

A. To increase the number of healthy red blood cells in the patient's body. B. To reduce the frequency of pain crises and complications. C. To improve oxygenation and alleviate respiratory distress. D. To prevent infections and enhance the immune system response.

Correct Answer is C

Explanation

Choice A rationale:

To increase the number of healthy red blood cells in the patient's body.

The primary goal of oxygen therapy in acute chest syndrome is not to increase the number of healthy red blood cells but to provide immediate relief by improving oxygenation.

Increasing healthy red blood cell production would take time and is not a suitable acute intervention.

Choice B rationale:

To reduce the frequency of pain crises and complications.

Oxygen therapy is not primarily aimed at reducing the frequency of pain crises.

It is used to address acute respiratory distress and improve oxygenation, which is essential in acute chest syndrome.

Choice D rationale:

To prevent infections and enhance the immune system response.

Oxygen therapy is not administered to prevent infections or enhance the immune system response.

Its main purpose is to address respiratory distress and hypoxia in patients with acute chest syndrome.

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A client with sickle cell disease is experiencing a sickling crisis.What interventions should the nurse prioritize when providing care for this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client with sickle cell disease about self-care measures.Select all the appropriate self-care strategies for this client:.

Correct Answer is ["A","C","D"]

Explanation

A client with sickle cell disease is experiencing acute chest syndrome and is having difficulty breathing.The nurse decides to initiate oxygen therapy.What is the rationale behind this intervention?

Correct Answer is C

Explanation

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A client with sickle cell disease is experiencing a sickling crisis.
What interventions should the nurse prioritize when providing care for this client?