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 A

Explanation

A. Viral load count is the primary test used to assess the effectiveness of HIV therapy by measuring the amount of HIV RNA in the blood, indicating how well the treatment is controlling the virus.

B. The Western blot is used as a confirmatory test for HIV diagnosis rather than monitoring therapy effectiveness.

C. The Enzyme immunoassay (EIA) test is used for initial HIV screening but does not measure viral load or therapy effectiveness.

D. Platelet count can be affected in HIV infection, especially with advanced disease, but it does not directly measure the effectiveness of HIV therapy.

A. Milk and cheese B. Whole grain breads C. Fresh fruits D. Red meat and organ meat

Correct Answer is D

Explanation

A. Milk and cheese are low in iron content and are not recommended for increasing iron levels in clients with iron-deficiency anemia.

B. Whole grain breads may contain some iron but are not as high in iron as other food sources.

C. Fresh fruits do not provide significant amounts of iron and are not a good source for addressing iron deficiency.

D. Red meat and organ meat are excellent sources of heme iron, which is more easily absorbed by the body compared to non-heme iron found in plant sources, making them the best choice for increasing iron intake in clients with iron-deficiency anemia.

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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 caring for a client with HIV. Which laboratory test would be used to assess the effectiveness of therapy?

Correct Answer is A

Explanation

A nurse is caring for a client with iron-deficiency anemia. When teaching the client about nutrition, the nurse should educate the client which of the following foods contains the most amount of iron?

Correct Answer is D

Explanation

Which of the following are components of the complete blood count (CBC)? Select all that apply.

A nurse is caring for a client who is on anti-retroviral therapy (ART), which includes indinavir sulfate (Crixivan), a protease inhibitor, for the treatment of HIV. Which client statement demonstrates that teaching was effective?

A nurse is presenting a community-based program about HIV and AIDS. A client asks the nurse to describe the initial symptoms experienced with HIV infection. Which manifestation(s) should the nurse include?

A nurse is planning care for a client with pernicious anemia. Which intervention should the nurse plan to implement?

A nurse is assessing a client who is receiving a unit of packed red blood cells. Which client statement suggests manifestation of an acute hemolytic reaction?

A nurse is caring for a client who is coming to the clinic for human immunodeficiency virus (HIV) testing. The patient's enzyme-linked immunosorbent assay (ELISA) results are positive. Which test will be used to confirm the diagnosis of HIV?

A nurse is preparing to transfuse a unit of packed red blood cells for a client with severe anemia. The nurse should identify that which of the following interventions will help prevent an acute hemolytic reaction?

A client with iron deficiency anemia is prescribed ferrous sulfate. Which instruction by the nurse is most appropriate to include in the client's teaching plan?