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A nurse is teaching a client with sickle cell disease about self-care measures.
Select all the appropriate self-care strategies for this client:.

Increasing fluid intake to stay hydrated.

Engaging in regular strenuous physical exercise.

Avoiding extreme temperature conditions.

Taking prescribed medications as directed.

Smoking tobacco to alleviate pain.

Answer and Explanation

Correct Answer : A,C,D

Choice A rationale:

"Increasing fluid intake to stay hydrated.”.

Staying hydrated is an important self-care strategy for individuals with sickle cell disease.

Dehydration can increase the risk of vaso-occlusive crises and other complications.

Adequate fluid intake helps to prevent the excessive sickling of red blood cells, which can block blood vessels.

Choice B rationale:

"Engaging in regular strenuous physical exercise.”.

Engaging in regular strenuous physical exercise is not an appropriate self-care strategy for individuals with sickle cell disease.

Intense exercise can increase the risk of vaso-occlusive crises and should be done with caution.

Low-impact, moderate exercise may be more suitable for these individuals.

Choice C rationale:

"Avoiding extreme temperature conditions.”.

Avoiding extreme temperature conditions is a sensible self-care strategy for individuals with sickle cell disease.

Extreme cold or heat can trigger vaso-occlusive crises and other complications.

Maintaining a comfortable temperature can help prevent these issues.

Choice D rationale:

"Taking prescribed medications as directed.”.

Taking prescribed medications as directed is crucial for managing sickle cell disease.

This may include medications to manage pain, prevent infections, and reduce complications.

Adhering to the prescribed treatment plan is essential for improving the quality of life and preventing crises.

Choice E rationale:

"Smoking tobacco to alleviate pain.”.

Smoking tobacco is not an appropriate self-care strategy for individuals with sickle cell disease.

Smoking can worsen the condition and increase the risk of complications.

It is important to avoid smoking and any other activities that can harm the lungs or blood vessels in individuals with sickle cell disease.

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Correct Answer is D

Explanation

Choice A rationale:

"Hemoglobin S causes red blood cells to become more flexible.”.

This statement is not accurate.

Hemoglobin S (HbS) actually causes red blood cells to become less flexible and take on a characteristic sickle shape.

This change in shape is a key feature of sickle cell disease and can lead to various complications.

Choice B rationale:

"Sickle-shaped cells improve blood flow in the body.”.

This statement is incorrect.

Sickle-shaped cells do not improve blood flow.

In fact, they can impair blood flow by blocking blood vessels.

The abnormal shape of these cells makes them more likely to get stuck in small blood vessels, leading to vaso-occlusive crises and other complications.

Choice C rationale:

"Chronic hemolysis and anemia are not associated with sickle cell disease.”.

This statement is also incorrect.

Chronic hemolysis (the breakdown of red blood cells) is a hallmark of sickle cell disease.

The abnormal shape of sickle cells makes them more fragile, leading to their premature destruction, which results in anemia.

Choice D rationale:

"Sickle-shaped cells can block blood vessels and impair blood flow.”.

This is The correct answer.

Sickle-shaped red blood cells can block blood vessels, leading to vaso-occlusive crises and impaired blood flow.

This is a key part of the pathophysiology of sickle cell disease.

A. To increase the number of healthy red blood cells in the patient's body. B. To reduce the frequency of pain crises and complications. C. To improve oxygenation and alleviate respiratory distress. D. To prevent infections and enhance the immune system response.

Correct Answer is C

Explanation

Choice A rationale:

To increase the number of healthy red blood cells in the patient's body.

The primary goal of oxygen therapy in acute chest syndrome is not to increase the number of healthy red blood cells but to provide immediate relief by improving oxygenation.

Increasing healthy red blood cell production would take time and is not a suitable acute intervention.

Choice B rationale:

To reduce the frequency of pain crises and complications.

Oxygen therapy is not primarily aimed at reducing the frequency of pain crises.

It is used to address acute respiratory distress and improve oxygenation, which is essential in acute chest syndrome.

Choice D rationale:

To prevent infections and enhance the immune system response.

Oxygen therapy is not administered to prevent infections or enhance the immune system response.

Its main purpose is to address respiratory distress and hypoxia in patients with acute chest syndrome.

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A nurse is teaching a client with sickle cell disease about self-care measures.Select all the appropriate self-care strategies for this client:.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with sickle cell disease asks the nurse about the effects of hemoglobin S on red blood cells.Which statement by the nurse accurately explains the pathophysiology of this condition?

Correct Answer is D

Explanation

A client with sickle cell disease is experiencing acute chest syndrome and is having difficulty breathing.The nurse decides to initiate oxygen therapy.What is the rationale behind this intervention?

Correct Answer is C

Explanation

A client diagnosed with sickle cell disease is seeking advice on avoiding triggers for vaso-occlusive crises.The patient asks, "What activities should I avoid to prevent these painful episodes?" What education is the nurse likely to provide?

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A nurse is teaching a client with sickle cell disease about self-care measures.
Select all the appropriate self-care strategies for this client:.