A nurse is discharging a client who has sickle cell anemia after an acute crisis episode. Which of the following instructions should the nurse include in the teaching?
"Monitor your temperature daily."
"Apply cold compresses when they have pain."
"Drink fluids multiple times every day."
"Restrict outdoor activity to 1 hour per day."
The Correct Answer is C
A. "Monitor your temperature daily.": While monitoring temperature can be important, it is not the primary focus for a client with sickle cell anemia after an acute crisis. The main concern should be preventing dehydration and maintaining proper hydration.
B. "Apply cold compresses when they have pain.": Cold compresses can constrict blood vessels, potentially worsening pain during a sickle cell crisis. Heat is generally recommended for pain management in sickle cell anemia, as it helps dilate blood vessels and improve blood flow.
C. "Drink fluids multiple times every day.": Proper hydration is essential in sickle cell anemia to prevent dehydration, which can trigger a sickle cell crisis. Drinking fluids regularly helps maintain blood volume and reduces the risk of vaso-occlusion.
D. "Restrict outdoor activity to 1 hour per day.": There are no specific restrictions on outdoor activity unless the client is experiencing symptoms like fatigue or pain. Encouraging moderate activity, while avoiding extreme temperatures and overexertion, is more beneficial than strict time limits.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Attending a class given about tracheostomy care: Attending a class can provide valuable information, but it does not demonstrate that the partner is ready to perform suctioning independently. The partner needs to show hands-on competence in the procedure.
B. Performing the procedure independently: The ability to perform tracheostomy suctioning independently is the most important indicator that the partner is ready for the client's discharge. It shows the partner has the practical skills necessary for safe care at home.
C. Asking appropriate questions about suctioning: Asking questions is a sign of engagement and a willingness to learn, but it does not indicate mastery of the procedure. The partner needs to demonstrate competency in performing suctioning, not just asking about it.
D. Verbalizing all steps in the procedure: Verbalizing the steps is helpful but does not guarantee that the partner can perform the procedure safely. Hands-on practice and ability to execute the steps independently are necessary for readiness.
Correct Answer is C
Explanation
A. Pigeon: A pigeon chest, or pectus carinatum, is a deformity where the breastbone protrudes outward; it is typically a congenital condition which is unrelated to COPD.
B. Funnel: A funnel chest, or pectus excavatum, is a condition where the breastbone is sunken or caved-in, and it is not typically seen in clients with COPD.
C. Barrel: A barrel chest is a classic finding in clients with COPD, particularly in emphysema. The hyperinflation of the lungs leads to an increase in the anterior-posterior chest diameter, resulting in a rounded, "barrel-shaped" chest.
D. Kyphotic: Kyphosis refers to an abnormal curvature of the spine, resulting in a rounded back. While this can affect posture, it is not a typical feature of COPD. The focus in COPD is on the chest shape related to lung hyperinflation (barrel chest).
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