A patient with a history of sickle cell disease is being admitted for sickle cell crisis. Which of the following nursing diagnoses should guide the nurse when providing care for the patient?

Risk for Injury related to compromised blood volume.

Risk for Deficient Fluid Volume related to infection.

Ineffective Airway Clearance related to sickled cells.

Ineffective Tissue Perfusion related to vascular occlusion.

Answer and Explanation

The Correct Answer is D

A.   Risk for Injury related to compromised blood volume is not the most appropriate nursing diagnosis for a patient with sickle cell disease in crisis. While patients may experience anemia and blood volume loss during a crisis, the primary concern is tissue perfusion due to vascular occlusion by sickled cells.
B.   Risk for Deficient Fluid Volume related to infection is not directly related to the pathophysiology of sickle cell disease or sickle cell crisis.
C.   Ineffective Airway Clearance related to sickled cells may be a concern for patients with sickle cell disease, especially during acute chest syndrome, but it is not the primary nursing diagnosis for a patient admitted for sickle cell crisis.
D.   Ineffective Tissue Perfusion related to vascular occlusion is the most appropriate nursing diagnosis for a patient with sickle cell disease in crisis. Sickle cell crisis involves the occlusion of blood vessels by sickled cells, leading to impaired tissue perfusion and potential organ damage.

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Correct Answer is B

Explanation

A. Diarrhea: While diarrhea can occur in some cases of ovarian cancer, it is not one of the most common manifestations.
B. Unexplained weight loss: Unexplained weight loss is a common symptom of ovarian cancer and may be due to factors such as cancer-related cachexia or decreased appetite.
C. Urinary retention: Urinary retention is not a typical manifestation of ovarian cancer. Urinary symptoms may occur if the cancer spreads to nearby structures, but urinary retention is not
common.

D. Abdominal bloating: Abdominal bloating is a common symptom of ovarian cancer, often accompanied by feelings of fullness and increased abdominal girth. It is often one of the earliest and most noticeable symptoms of the disease.

A. Prostate specific antigen B. Enzyme-linked immunosorbent assay (ELISA) C. Venereal disease research laboratory (VDRL) D. Western blot test

Correct Answer is C

Explanation

A. Prostate specific antigen: This test is used to screen for prostate cancer, not for diagnosing syphilis.
B. Enzyme-linked immunosorbent assay (ELISA): While ELISA can be used to detect antibodies for various infections, it is not the first-line test for syphilis.
C. Venereal disease research laboratory (VDRL): The VDRL test is commonly used to screen for syphilis, especially in the presence of a genital chancre.
D. Western blot test: This test is more commonly used to confirm HIV infection, not for initial syphilis screening.

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A patient with a history of sickle cell disease is being admitted for sickle cell crisis. Which of the following nursing diagnoses should guide the nurse when providing care for the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is C

Explanation

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