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. Dietary iron restrictions B. Intestinal parasites C. Chronic bloody diarrhea D. Intestinal malabsorption syndrome

Correct Answer is C

Explanation

A. Dietary iron restrictions may affect iron intake, but they are not a direct symptom of ulcerative colitis that contributes to anemia.

B. Intestinal parasites can cause anemia but are not a common complication associated with ulcerative colitis.

C. Chronic bloody diarrhea is a significant symptom of ulcerative colitis and leads to iron loss and depletion, contributing to the development of anemia due to the loss of blood and iron.

D. Intestinal malabsorption syndrome can lead to anemia; however, it is not a primary symptom of ulcerative colitis itself, making chronic bloody diarrhea the more direct contributing factor.

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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?

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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

A nurse is teaching a client with a history of ulcerative colitis and a new diagnosis of anemia. Which of the following symptoms from ulcerative colitis is a contributing factor to the development of anemia?

Correct Answer is C

Explanation

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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?