A nurse is caring for a client with sickle cell anemia during a vaso-occlusive crisis. Which of the following clinical manifestations is most likely to be observed during this crisis?

Increased blood pressure

Pale skin and mucous membranes

Severe joint pain

High energy levels

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because increased blood pressure is not typically observed during a vaso-occlusive crisis in sickle cell anemia.

B) This choice is incorrect because pale skin and mucous membranes are more likely to be seen in clients with anemia due to decreased red blood cell count, but it is not specific to a vaso-occlusive crisis.

C) This choice is correct. A vaso-occlusive crisis in sickle cell anemia is characterized by the blockage of small blood vessels, leading to severe pain, particularly in the joints and bones.

D) This choice is incorrect because clients experiencing a vaso-occlusive crisis are more likely to feel fatigued and weak due to the lack of oxygen delivery, rather than having high energy levels.

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Correct Answer is B

Explanation

A. With meals
Taking ferrous sulfate with meals may reduce its absorption because food, particularly dairy products and certain medications, can interfere with iron absorption.

B. On an empty stomach
Ferrous sulfate is best absorbed on an empty stomach, as food can inhibit iron absorption. However, if gastrointestinal irritation occurs, it may be taken with a small amount of food.

C. At bedtime
Taking iron supplements at bedtime is not ideal because it can cause gastrointestinal discomfort, which may interfere with sleep.

D. Simultaneously with calcium supplements
Calcium supplements can interfere with the absorption of iron, so they should not be taken at the same time as ferrous sulfate. It is recommended to space them out by at least 2 hours.

A. Initiating oxygen therapy B. Administering pain medication C. Assessing the client's pain level D. Encouraging rest and activity balance

Correct Answer is A

Explanation

A) This choice is correct because the client is showing signs of decreased oxygen-carrying capacity due to anemia, and providing oxygen can help improve oxygen saturation levels and alleviate symptoms.

B) This choice is incorrect because pain medication does not address the underlying issue of anemia and the client's symptoms.

C) This choice is incorrect because assessing pain levels is not the priority when the client is presenting with symptoms of anemia and potential oxygen deficiency.

D) This choice is incorrect because although rest and activity balance are essential for overall well-being, they do not directly address the client's acute symptoms related to anemia.

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A nurse is caring for a client with sickle cell anemia during a vaso-occlusive crisis. Which of the following clinical manifestations is most likely to be observed during this crisis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with anemia is prescribed ferrous sulfate supplements. A nurse should instruct the client to take the supplement:

Correct Answer is B

Explanation

A client with anemia presents with pale skin, fatigue, and shortness of breath. The nurse should prioritize which intervention?

Correct Answer is A

Explanation

A client with anemia is receiving packed red blood cell (PRBC) transfusions. The nurse should prioritize which action during the transfusion process?

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