A nurse is providing discharge teaching to a client with sickle cell disease. Which of the following instructions should the nurse include?

Drink plenty of fluids to stay well hydrated.

Limit your intake of fruits and vegetables to avoid complications.

You can stop your prescribed antibiotics once you feel better.

Take your pain medications only when you have severe pain.

Answer and Explanation

The Correct Answer is A

A. Drink plenty of fluids to stay well hydrated. Hydration is crucial for clients with sickle cell disease as it helps prevent blood thickening and reduces the risk of sickling crises.

B. Limit your intake of fruits and vegetables to avoid complications. Fruits and vegetables are essential for balanced nutrition and are not contraindicated in sickle cell disease. Limiting them is unnecessary and could lead to nutritional deficiencies.

C. You can stop your prescribed antibiotics once you feel better. Antibiotics should always be completed as prescribed to fully treat any infection and prevent resistance, especially in individuals with weakened immune responses.

D. Take your pain medications only when you have severe pain. Clients with sickle cell disease should take pain medications as needed, even for mild pain, to prevent escalation of pain and a sickle cell crisis.

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Correct Answer is D

Explanation

A. Peripheral Artery Disease (PAD). PAD is a chronic condition related to reduced blood flow in peripheral arteries. It is not directly associated with MI complications.

B. Gastroesophageal Reflux Disease (GERD). GERD involves acid reflux and is not related to post-MI complications.

C. Hypertension. While hypertension is a risk factor for MI, it does not directly explain the symptoms of shortness of breath and irregular heartbeats following an MI.

D. Heart Failure. Heart failure is a common post-MI complication, especially if a significant portion of heart muscle is damaged. Symptoms of shortness of breath and irregular heartbeats could indicate left-sided heart failure, where fluid backs up into the lungs, or right-sided failure, which can lead to systemic congestion.

A. Frequent urination B. Increased range of motion C. Localized bone pain and tenderness D. Hyperpigmentation of the skin

Correct Answer is C

Explanation

A. Frequent urination: Frequent urination is not associated with osteomyelitis, a bone infection.

B. Increased range of motion: Osteomyelitis typically causes pain and restricted movement, not increased range of motion.

C. Localized bone pain and tenderness: Osteomyelitis commonly presents with localized bone pain, tenderness, and possibly swelling due to infection.

D. Hyperpigmentation of the skin: Hyperpigmentation is not a typical sign of osteomyelitis.

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A nurse is providing discharge teaching to a client with sickle cell disease. Which of the following instructions should the nurse include?

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Naxlex Comprehensive Predictor Exams

A patient is recovering from a myocardial infarction (MI). Which of the following complications should the nurse be most concerned about if the patient reports new-onset shortness of breath and irregular heartbeats?

Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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