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?
To increase the number of healthy red blood cells in the patient's body.
To reduce the frequency of pain crises and complications.
To improve oxygenation and alleviate respiratory distress.
To prevent infections and enhance the immune system response.
The Correct Answer is C
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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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A"]
Explanation
Choice B rationale:
Renal Failure Renal failure is not the most likely complication in this case.
The client's sharp chest pain, aggravated by deep breaths, is more consistent with the symptoms of Acute Chest Syndrome.
This syndrome is a common complication of sickle cell disease and is characterized by chest pain, fever, cough, and shortness of breath.
While kidney complications can occur in sickle cell disease, they are not the primary concern based on the client's presentation.
Choice C rationale:
Acute Chest Syndrome is a more pressing concern due to its potential to lead to severe respiratory distress.
Choice D rationale:
Functional Asplenia Functional asplenia may contribute to the risk of infections in individuals with sickle cell disease, but it is not the primary cause of the client's current symptoms.
The client's chest pain and difficulty breathing are more indicative of Acute Chest Syndrome, a serious and potentially life-threatening complication of sickle cell disease.
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.
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