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."

Answer and Explanation

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.

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Correct Answer is D

Explanation

A. Zolpidem: Zolpidem is a medication used for short-term treatment of insomnia. It is not indicated for gout and does not address the underlying causes or symptoms of chronic gout. It is not an appropriate medication for this condition.

B. Alprazolam: Alprazolam is a benzodiazepine used for anxiety. It is not used to treat gout, which is a metabolic disorder related to high uric acid levels. This medication does not impact uric acid levels or manage gout symptoms.

C. Spironolactone: Spironolactone is a diuretic used for conditions like hypertension or edema. It is not appropriate for managing gout and can actually worsen the condition in some cases by increasing uric acid levels. It is not indicated for gout management.

D. Allopurinol: Allopurinol is a xanthine oxidase inhibitor that lowers uric acid levels in the blood, making it the appropriate medication for chronic gout. It helps prevent gout flare-ups by reducing the production of uric acid, addressing the root cause of the condition.

A. Smoking cessation B. Regular moderate exercise C. Maintenance of ideal weight D. Annual influenza immunization

Correct Answer is A

Explanation

A. Smoking cessation: Smoking is the leading cause of chronic bronchitis, and cessation is the most effective intervention to prevent the disorder. Quitting smoking reduces the risk of developing chronic bronchitis and other chronic obstructive pulmonary diseases (COPD).

B. Regular moderate exercise: While exercise can improve overall lung function and health, it is not the primary method for preventing chronic bronchitis. The main risk factor for chronic bronchitis is smoking, so the focus should be on smoking cessation.

C. Maintenance of ideal weight: Maintaining a healthy weight can support overall health, but it is not specifically an effective measure for preventing chronic bronchitis. Smoking cessation is the most important preventive strategy.

D. Annual influenza immunization: While the annual flu vaccine can help prevent respiratory infections, which may exacerbate chronic bronchitis, it is not the direct method for preventing the disorder itself. The primary preventive measure is smoking cessation.

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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?

Nursing Test Bank

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