A nurse is caring for a client with sickle cell anemia. The client asks, "Why am I in so much pain?" What is an appropriate response from the nurse to make to this client?

"You are not taking deep breaths, and that is causing your pain."

"Your red blood cells are not the correct shape, and that causes blood flow to become blocked."

"You have a genetic disorder, and the mutated gene causes increased pain."

"You are anemic, and the lack of hemoglobin causes pain."

Answer and Explanation

The Correct Answer is B

A. While deep breathing can help alleviate pain, it is not the primary cause of pain in sickle cell anemia; this response could minimize the client's experience.

B. Sickle cell anemia causes red blood cells to become rigid and shaped like a sickle, which can obstruct blood flow and lead to vaso-occlusive crises, resulting in pain.

C. Although sickle cell anemia is a genetic disorder, simply stating that the mutated gene causes increased pain is too vague and does not explain the pain mechanism adequately.

D. While anemia can contribute to fatigue and some discomfort, the pain in sickle cell anemia is primarily due to the sickling of red blood cells and subsequent blockage of blood flow, rather than just the lack of hemoglobin.

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Correct Answer is C

Explanation

A. Dietary iron restrictions may affect iron intake, but they are not a direct symptom of ulcerative colitis that contributes to anemia.

B. Intestinal parasites can cause anemia but are not a common complication associated with ulcerative colitis.

C. Chronic bloody diarrhea is a significant symptom of ulcerative colitis and leads to iron loss and depletion, contributing to the development of anemia due to the loss of blood and iron.

D. Intestinal malabsorption syndrome can lead to anemia; however, it is not a primary symptom of ulcerative colitis itself, making chronic bloody diarrhea the more direct contributing factor.

A. Eat legumes instead of red meat B. Consume high-calorie snacks between meals C. Use canola oil instead of butter while cooking D. Add celery to cooked soups or salads

Correct Answer is B

Explanation

A. While legumes are a good source of protein, they do not provide the high-calorie density needed for someone experiencing wasting syndrome.

B. Consuming high-calorie snacks between meals is the most appropriate suggestion as it helps increase overall caloric intake, which is essential for clients with wasting syndrome to help maintain weight and improve nutritional status.

C. Using canola oil instead of butter may not significantly impact caloric intake, and clients with wasting syndrome may need higher-calorie options.

D. Adding celery to soups or salads adds volume but is low in calories and may not contribute significantly to the dietary needs of someone experiencing wasting syndrome.

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A nurse is caring for a client with sickle cell anemia. The client asks, "Why am I in so much pain?" What is an appropriate response from the nurse to make to this client?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is teaching a client with a history of ulcerative colitis and a new diagnosis of anemia. Which of the following symptoms from ulcerative colitis is a contributing factor to the development of anemia?

Correct Answer is C

Explanation

A nurse is providing education to a client with human immunodeficiency virus (HIV) who is experiencing wasting syndrome. Which of these suggestions is most appropriate?

Correct Answer is B

Explanation

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A nurse is caring for a client with sickle cell anemia. The client asks, "Why am I in so much pain?" What is an appropriate response from the nurse to make to this client?

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A nurse is providing education to a client diagnosed with sickle cell anemia. Which of the following can be anticipated will be a trigger for a sickle cell crisis?

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