A nurse is preparing to discharge a patient who has sickle cell anemia following an acute crisis episode.
Which instructions should the nurse include in the teaching?

Restrict outdoor activity to 1 hour per day.

Apply cold compresses when your child expresses pain.

Drink fluids multiple times every day.

Monitor your temperature daily.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Restricting outdoor activity to 1 hour per day is not necessary for patients with sickle cell anemia. While strenuous exercise and overexertion should be avoided, regular moderate exercise is beneficial and helps to promote good overall health.

Choice B rationale

Applying cold compresses when the child expresses pain is not recommended. Cold can lead to vasoconstriction, which can trigger a sickle cell crisis. Instead, warm compresses are often used to help increase circulation and reduce pain.

Choice C rationale

Drinking fluids multiple times every day is crucial. Hydration helps to keep the blood diluted and reduces the chances of a sickle cell crisis. Dehydration can increase the risk of a sickle cell crisis.

Choice D rationale

Monitoring temperature daily is not specifically required for patients with sickle cell anemia. However, any signs of infection, such as fever, should be reported to a healthcare provider immediately, as infection can trigger a sickle cell crisis.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is C

Explanation

Choice A rationale

While an elevated WBC count can indicate an infection, it is not the most important symptom to monitor in a patient with idiopathic thrombocytopenic purpura (ITP). ITP is primarily a platelet disorder, and while infection can trigger or exacerbate the condition, an elevated WBC count is not a direct symptom of ITP78.

Choice B rationale

Fever can be a sign of infection, which can trigger or exacerbate ITP. However, it is not the most important symptom to monitor in a patient with ITP78.

Choice C rationale

Ecchymosis, or bruising, is a key symptom of ITP. Because ITP involves a decrease in platelets, which are necessary for clotting, patients with this condition are prone to bruising and bleeding. Therefore, monitoring for ecchymosis is crucial.

Choice D rationale

Fatigue can be a symptom of ITP, but it is not the most important symptom to monitor. While fatigue can impact a patient’s quality of life, it does not directly indicate the severity of the condition.

A. Call the family and ask them to stay with the client B. Apply wrist and leg restraints to the client C. Administer medication to sedate the client D. Move the client to a room closer to the nurses’ station

Correct Answer is D

Explanation

Choice D rationale

Moving the client to a room closer to the nurses’ station is an appropriate action to address the safety needs of an older adult client who is becoming increasingly restless and intermittently confused. This allows for closer observation and quicker intervention if needed.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is preparing to discharge a patient who has sickle cell anemia following an acute crisis episode.Which instructions should the nurse include in the teaching?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is developing a care plan for a patient who has been diagnosed with idiopathic thrombocytopenic purpura (ITP). Which of the following symptoms is most important for the nurse to monitor?

Correct Answer is C

Explanation

A nurse is caring for an older adult client who was alert and oriented at admission, but now seems increasingly restless and intermittently confused.Which of the following actions should the nurse take to address the client’s safety needs?

Correct Answer is D

Explanation

A nurse is educating a group of pregnant women about neural tube defects.Which of the following conditions should the nurse mention as an example of a neural tube defect?

A nurse is providing care for a patient who the healthcare provider suspects may have pernicious anemia.Which diagnostic test should the nurse anticipate the healthcare provider will order?

A nurse has assessed a patient in labor.The patient’s cervix is dilated 4 cm and 100% effaced.The fetus is in the vertex presentation at -1 station.The patient is walking to the bathroom and experiences a spontaneous rupture of membranes.What is the nurse’s priority action?

A nurse is caring for a client who has a history of dementia.The client is alert and oriented to person, place, and time, and has advance directives.The client is scheduled for a procedure that requires informed consent.Which of the following persons should sign the informed consent?

A nurse manager is conducting an in-service program about delegation to assistive personnel (AP) with staff nurses on the unit.Which statement by a staff nurse indicates that the teaching was effective?

In the context of caring for a patient diagnosed with Crohn’s disease, which nursing assessment should be prioritized?

A nurse is caring for a newborn who is 8 hours old.Based on the information in the newborn’s medical record, the nurse determines that the newborn is at risk for developing which of the following complications?

A nurse is preparing to discharge a patient who has sickle cell anemia following an acute crisis episode.
Which instructions should the nurse include in the teaching?