A nurse is providing education to a client diagnosed with sickle cell anemia. Which of the following can be anticipated will be a trigger for a sickle cell crisis?

Over-hydration

Dehydration

Non-steroidal anti-inflammatory drugs (NSAIDs)

Vaccinations

Answer and Explanation

The Correct Answer is B

A. Over-hydration is not a trigger for a sickle cell crisis; in fact, adequate hydration helps prevent sickling of the cells.

B. Dehydration is a significant trigger for sickle cell crises, as it can lead to increased blood viscosity and sickling of red blood cells.

C. Non-steroidal anti-inflammatory drugs (NSAIDs) are often used to manage pain associated with sickle cell crises, but they do not trigger a crisis.

D. Vaccinations are important for preventing infections in individuals with sickle cell anemia but are not associated with triggering a sickle cell crisis.

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Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"B"}}

Explanation

Hemolytic Reaction:
- Administer 0.9% sodium chloride: To maintain fluid balance and prevent kidney damage.
- Send the blood bag back to the blood bank for analysis: To identify the cause of the reaction and prevent future similar incidents.
- Stop blood infusion: To prevent further hemolysis.
Anaphylactic Reaction:
- Stop blood infusion: To prevent further exposure to the allergen.
- Administer epinephrine: To treat the severe allergic reaction and prevent anaphylactic shock.
- Send the blood bag back to the blood bank for analysis: To identify the allergen and prevent future similar incidents.
- Administer 0.9% sodium chloride: To maintain fluid balance and prevent kidney damage.

A. Encourage frequent ambulation in the hallways B. Monitor the client's RBC count every 4 hours C. Treat them in an outpatient setting D. Maintain IV fluids, administer pain medications, and provide supplemental oxygen

Correct Answer is D

Explanation

A. Encouraging frequent ambulation is not appropriate during a vaso-occlusive crisis, as it can exacerbate pain and further compromise blood flow.

B. While monitoring the RBC count is important, it is not the most immediate intervention during a crisis. The focus should be on managing pain and preventing complications.

C. Treating the client in an outpatient setting is inappropriate during a vaso-occlusive crisis, which typically requires inpatient care for effective pain management and hydration.

D. Maintaining IV fluids, administering pain medications, and providing supplemental oxygen are critical interventions that address the acute needs of the client in crisis, aiming to alleviate pain and improve oxygenation.

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A nurse is providing education to a client diagnosed with sickle cell anemia. Which of the following can be anticipated will be a trigger for a sickle cell crisis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Select the appropriate treatment for the following transfusion reactions

Correct Answer is {"A":{"answers":"A,B"},"B":{"answers":"A,B"},"C":{"answers":"A,B"},"D":{"answers":"B"}}

Explanation

The client with sickle cell disease (SCD) has recently been sick and is now experiencing a vaso-occlusive crisis. Which priority interventions should the nurse implement?

Correct Answer is D

Explanation

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