A nurse is caring for a client who has sickle cell anemia. The client asks. "Why do I feel so tired and fatigued all of the time?" Which of the following information should the nurse provide?

"You have had a gastrointestinal bleed."

"You have a low ferritin level."

"You have an autoimmune disease."

"You have fewer red blood cells."

Answer and Explanation

The Correct Answer is D

A. "You have had a gastrointestinal bleed.": While a GI bleed can cause anemia and fatigue, it is not a direct cause of fatigue in sickle cell anemia.

B. "You have a low ferritin level.": Low ferritin indicates iron deficiency anemia, not directly related to sickle cell anemia.

C. "You have an autoimmune disease.": Sickle cell anemia is a genetic disorder, not an autoimmune disease.

D. "You have fewer red blood cells." Sickle cell anemia results in a decreased number of healthy red blood cells (RBCs) because the sickled cells are fragile and prone to breaking apart. This leads to anemia, which reduces the blood's ability to carry oxygen, causing fatigue and tiredness.

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Correct Answer is A

Explanation

A. 1 cup canned black beans - Black beans are high in iron and an excellent dietary recommendation for someone with iron deficiency anemia.

B. 8 oz whole milk - While nutritious, milk is not a significant source of iron and can actually inhibit iron absorption due to its calcium content.

C. 1.5 oz raisins - Raisins do contain some iron, but the amount is relatively small compared to black beans. They are a good supplement but not the best primary source of iron.

D. 8 oz black tea - Tea contains tannins that can inhibit iron absorption, making it an unsuitable recommendation for someone needing to increase their iron levels.

A. Lie on your back when sleeping. B. Wash your hair 24 hr after surgery. C. Resume your exercise routine. D. Eat foods that are soft

Correct Answer is D

Explanation

A. Lie on your back when sleeping - While specific sleeping positions might be recommended, lying on the back is not necessarily required unless specified by the surgeon.

B. Wash your hair 24 hr after surgery - Hair washing is usually advised against within the first 24-48 hours post-surgery to prevent infection and avoid disturbing the surgical site.

C. Resume your exercise routine - Exercise is typically restricted initially to prevent strain or injury to the surgical area.

D. Eat foods that are soft - Soft foods are recommended to avoid strain on the surgical site, reduce the risk of dislodging any packing or stitches, and promote comfort during the initial healing period.

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A nurse is caring for a client who has sickle cell anemia. The client asks. "Why do I feel so tired and fatigued all of the time?" Which of the following information should the nurse provide?

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