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
Drinking milk with the medication is not recommended because calcium can bind to alendronate, reducing its absorption.
Choice B rationale
Alendronate should be taken on an empty stomach, at least 30 minutes before the first food, beverage, or other medication of the day.
Choice C rationale
Patients should sit upright for at least 30 minutes after taking alendronate to prevent esophageal irritation.
Choice D rationale
Alendronate tablets should be swallowed whole, not chewed, to prevent oropharyngeal ulceration.
Correct Answer is D
Explanation
Choice A rationale
Metoprolol is a beta-blocker that affects the heart and circulation. It does not typically cause elevated blood glucose levels.
Choice B rationale
Metoprolol is used to treat high blood pressure, not increase it. It works by relaxing blood vessels and slowing heart rate to improve blood flow and decrease blood pressure.
Choice C rationale
Metoprolol does not typically reduce bronchospasms. In fact, it can sometimes cause breathing problems such as shortness of breath, cough, and wheezing.
Choice D rationale
Metoprolol is known to lower heart rate. This is one of the ways it helps to reduce blood pressure and relieve strains on the heart.
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