A nurse is assisting with the plan of care for a patient who is experiencing sickle cell crises. What interventions should the nurse include in the plan of care?
Avoid administration of the influenza vaccine.
Provide a diet that is low in protein.
Decrease fluid intake to 1,500 mL daily.
Maintain the patient on bed rest.
The Correct Answer is D
Choice A rationale
Avoiding administration of the influenza vaccine is not a recommended intervention for a patient experiencing sickle cell crises. Vaccinations are important for patients with sickle cell disease to prevent infections that can trigger crises.
Choice B rationale
Providing a diet that is low in protein is not a recommended intervention for a patient experiencing sickle cell crises. Patients with sickle cell disease need a balanced diet that includes adequate protein to support tissue repair and growth.
Choice C rationale
Decreasing fluid intake to 1,500 mL daily is not a recommended intervention for a patient experiencing sickle cell crises. Adequate hydration is important to prevent sickling of cells and to maintain blood volume.
Choice D rationale
Maintaining the patient on bed rest is the correct intervention. Rest can help to decrease the body’s demand for oxygen, reduce stress on the body, and prevent complications such as acute chest syndrome.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Increasing vitamin C intake by drinking orange juice is not recommended for a patient with gastroesophageal reflux disease (GERD). Orange juice is acidic and can exacerbate the symptoms of GERD5.
Choice B rationale
Lying down for 30 minutes after each meal is not recommended for a patient with GERD. This can cause stomach acid to flow back into the esophagus, worsening GERD symptoms.
Choice C rationale
Eating six small meals each day is a good practice for a patient with GERD. Smaller meals are easier on the stomach and less likely to cause reflux.
Choice D rationale
Sleeping flat on the back at night is not recommended for a patient with GERD. Elevating the head of the bed can help prevent stomach acid from flowing back into the esophagus.
Correct Answer is ["1.5"]
Explanation
Step 1: Identify the order. The order is for 15,000 units of heparin.
Step 2: Identify the available medication. The available medication is heparin 10,000 units/mL.
Step 3: Calculate the dose. To find out how many mL to administer, divide the number of units ordered by the number of units per mL. So, 15,000 units ÷ 10,000 units/mL = 1.5 mL. So, the nurse should administer 1.5 mL of heparin with each dose.
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