A nurse is providing care to an infant newly diagnosed with sickle cell anemia. The infant's parents ask the nurse to describe what sickled red blood cells are and how they affect blood flow. Which of the following statements should the nurse include in the discussion? (Select All that Apply.)
"Sickled red blood cells are flexible, making it easier for these cells to travel through small vessels."
"Sickled red blood cells are c-shaped and tend to stick together more easily."
"Sickled red blood cells have a long-life span. Therefore, they circulate in the blood longer than healthy cells."
"Sickled red blood cells are rigid, making it difficult for the cells to travel through smaller vessels."
"Sickled red blood cells have a short life span which decreases the number of red blood cells circulating in the blood."
Correct Answer : B,D,E
A. Sickled red blood cells are flexible, making it easier for these cells to travel through small vessels is incorrect. Sickled red blood cells are rigid and inflexible, which makes it difficult for them to pass through small blood vessels, contributing to blockages and reduced oxygen delivery.
B. Sickled red blood cells are c-shaped and tend to stick together more easily is correct. Sickled red blood cells have an abnormal, crescent or "C" shape, and they stick together, which can cause clumping and block blood flow in small vessels, leading to pain and organ damage.
C. Sickled red blood cells have a long-life span. Therefore, they circulate in the blood longer than healthy cells is incorrect. Sickled red blood cells have a shortened life span (about 10-20 days) compared to normal red blood cells, which typically last 120 days, leading to a higher rate of cell destruction and anemia.
D. Sickled red blood cells are rigid, making it difficult for the cells to travel through smaller vessels is correct. The rigidity of sickled cells prevents them from easily moving through small blood vessels, causing occlusions, pain, and organ damage.
E. Sickled red blood cells have a short life span which decreases the number of red blood cells circulating in the blood is correct. Due to their short life span, sickled cells are destroyed more quickly, leading to anemia and reduced oxygen-carrying capacity in the blood.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","C","E"]
Explanation
A. Mindfulness meditation techniques are effective strategies for managing stress and improving emotional well-being. These techniques help staff process their feelings and reduce anxiety, allowing for better coping with the emotional demands of caring for terminally ill children.
B. Work extended shifts is not recommended. Long shifts without adequate breaks contribute to burnout and fatigue, which can impair the ability to provide quality care and negatively affect staff well-being.
C. Develop professional support systems is critical. Building a support network with peers, supervisors, or mental health professionals can help staff process difficult emotions and prevent burnout.
D. Take sleep aids at night is not an ideal solution. While sleep is essential for stress management, reliance on sleep aids can lead to dependency and does not address the underlying stress or emotional challenges. Healthy sleep hygiene practices are more beneficial in the long term.
E. Attend funeral services if desired can be a meaningful way for staff to express their grief and provide closure. It also offers an opportunity for emotional support, which is crucial in maintaining emotional health after working with terminally ill children.
Correct Answer is C
Explanation
A. White rice is typically recommended during diarrhea as it is easy to digest and helps bind stools. It is part of the BRAT diet (bananas, rice, applesauce, toast), which is often advised during gastrointestinal upset.
B. Applesauce is also commonly recommended as part of the BRAT diet during diarrhea. It is gentle on the stomach and can help firm up stools.
C. Fruit juice should be avoided during diarrhea. It contains high levels of sugar and can worsen diarrhea by increasing the osmotic load in the intestines, potentially leading to more fluid loss.
D. Bananas are a good option during diarrhea as they are gentle on the stomach, provide potassium, and help bind stools. They are also part of the BRAT diet, which is often recommended for children with diarrhea.
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