A nurse is caring for a patient with sickle cell disease and is discussing pain management strategies.
The nurse states, "You may find relief by taking prescribed pain medications promptly and ensuring they are effective.”.
What nursing intervention is the nurse describing?
Administering antibiotics prophylaxis to prevent infections.
Encouraging adequate hydration to prevent dehydration and promote blood flow.
Assisting with activities of daily living and mobility to prevent complications and maintain independence.
Providing emotional support and counseling to help patients cope with the chronic nature of the disease.
The Correct Answer is D
Providing emotional support and counseling to help patients cope with the chronic nature of the disease.
Choice A rationale:
Administering antibiotics prophylaxis to prevent infections.
This option is not the intervention described by the nurse in the scenario.
The nurse is discussing pain management strategies and the importance of taking prescribed pain medications promptly.
Antibiotics prophylaxis is a different aspect of care for sickle cell disease that focuses on preventing infections, particularly those caused by encapsulated bacteria.
Choice B rationale:
Encouraging adequate hydration to prevent dehydration and promote blood flow.
While adequate hydration is essential for individuals with sickle cell disease to prevent dehydration and promote blood flow, it is not the intervention described by the nurse in this scenario.
The nurse is specifically addressing the importance of taking pain medications and ensuring their effectiveness.
Choice C rationale:
Assisting with activities of daily living and mobility to prevent complications and maintain independence.
Assisting with activities of daily living and mobility is an important aspect of care for patients with sickle cell disease, but it is not the intervention mentioned by the nurse in this scenario.
The nurse is emphasizing the need for effective pain management, which is crucial for patients experiencing vaso-occlusive crises.
Choice D rationale:
Providing emotional support and counseling to help patients cope with the chronic nature of the disease.
The nurse is describing the importance of providing emotional support and counseling to help patients cope with the chronic nature of sickle cell disease and the pain associated with it.
This intervention is critical for addressing the emotional and psychological aspects of the disease and ensuring that patients can manage their pain effectively.
It also promotes overall well-being and quality of life for individuals with this chronic condition.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Pulmonary Hypertension Sickle cell disease is primarily characterized by the presence of abnormal hemoglobin (HbS), leading to the formation of sickle-shaped red blood cells.
While pulmonary hypertension can occur in patients with sickle cell disease, it is not the most likely complication based on the presented symptoms.
The patient's paleness and easy fatigue are more indicative of anemia, which is a common complication in sickle cell disease.
Anemia results from a reduced number of functional red blood cells, leading to reduced oxygen-carrying capacity and fatigue.
Choice C rationale:
Hematuria Hematuria, the presence of blood in the urine, can occur in sickle cell disease, but it is not the most likely complication based on the child's reported symptoms of paleness and easy fatigue.
Hematuria may be associated with other complications such as kidney damage, but it is not the primary concern in this case.
Choice D rationale:
Functional Asplenia Functional asplenia refers to the impaired function of the spleen, which is a common complication in sickle cell disease.
However, the symptoms described by the child's parent, including paleness and easy fatigue, are more indicative of anemia, which is a consequence of sickle cell disease.
Correct Answer is B
Explanation
Choice A rationale:
"Sickle cell disease results from a dominant genetic mutation.”.
This statement is not accurate.
Sickle cell disease is not caused by a dominant genetic mutation.
It is an autosomal recessive genetic disorder, meaning that both parents must pass on the mutated gene for the disease to manifest.
In this condition, a person must inherit two copies of the mutated HBB gene (one from each parent) to have sickle cell disease.
Choice B rationale:
"Both parents must pass on the mutated gene for sickle cell disease to manifest.”.
This is The correct answer.
Sickle cell disease is inherited in an autosomal recessive manner, which means that it only manifests when a person inherits two copies of the mutated HBB gene, one from each parent.
If only one copy of the gene is inherited, the individual is a carrier (sickle cell trait) and does not have the disease.
Choice C rationale:
"The mutation in the HBB gene leads to the production of normal hemoglobin.”.
This statement is incorrect.
The mutation in the HBB gene results in the production of abnormal hemoglobin, known as hemoglobin S (HbS).
This abnormal hemoglobin is responsible for the characteristic changes in red blood cells seen in sickle cell disease.
Choice D rationale:
"Sickle cell disease is inherited in an autosomal dominant manner.”.
This statement is also incorrect.
Sickle cell disease is not inherited in an autosomal dominant manner.
It is an autosomal recessive genetic disorder, as explained in Choice B.
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