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

Explanation

A. Candidiasis, commonly known as thrush, is characterized by white lesions on the tongue and is a common opportunistic infection in clients with AIDS due to their compromised immune system.

B. Xerostomia refers to dry mouth and does not cause white lesions; it can occur in various conditions but is not an opportunistic infection.

C. Halitosis is bad breath and does not correlate with white lesions on the tongue; it can result from various causes but is not an infection.

D. Gingivitis involves inflammation of the gums and may present with red, swollen gums but does not typically cause white lesions on the tongue.

A. Viral load count B. Western blot C. Enzyme immunoassay (EIA) test D. Platelet count

Correct Answer is A

Explanation

A. Viral load count is the primary test used to assess the effectiveness of HIV therapy by measuring the amount of HIV RNA in the blood, indicating how well the treatment is controlling the virus.

B. The Western blot is used as a confirmatory test for HIV diagnosis rather than monitoring therapy effectiveness.

C. The Enzyme immunoassay (EIA) test is used for initial HIV screening but does not measure viral load or therapy effectiveness.

D. Platelet count can be affected in HIV infection, especially with advanced disease, but it does not directly measure the effectiveness of HIV therapy.

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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

A nurse is caring for a client with acquired immunodeficiency syndrome (AIDS). The nurse notes white lesions on the client's tongue. What opportunistic infection is this client experiencing?

Correct Answer is A

Explanation

A nurse is caring for a client with HIV. Which laboratory test would be used to assess the effectiveness of therapy?

Correct Answer is A

Explanation

Which nursing interventions are appropriate for a nurse administering a blood transfusion? Select All That Apply

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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