A patient with sickle cell disease (SCD) may need large doses of opioids for pain relief.

True.

False.

Choices:

Answer and Explanation

The Correct Answer is A

Choice A reason: Sickle cell disease causes severe vaso-occlusive pain, often requiring large opioid doses for relief due to intense pain crises. This aligns with SCD pain management, making it the correct statement the nurse would recognize based on the disease’s clinical presentation and treatment needs.

Choice B reason: It’s false to claim SCD patients don’t need large opioid doses, as pain crises are severe and often require high doses. The true statement is correct, making this incorrect, as it contradicts the nurse’s understanding of SCD pain management requirements.

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Correct Answer is A

Explanation

Choice A reason: 0.9% sodium chloride is isotonic, ideal for rapidly replacing fluid volume in hypovolemia from diarrhea. This aligns with fluid resuscitation protocols, making it the correct IV fluid the nurse would associate with treating the patient’s low blood pressure.

Choice B reason: 10% dextrose in 0.45% sodium chloride is hypotonic and used for hyperglycemia, not volume replacement. Normal saline is standard, making this incorrect, as it’s inappropriate for the nurse’s goal of rapid fluid restoration in hypovolemia.

Choice C reason: 5% dextrose in 0.9% sodium chloride becomes hypotonic after dextrose metabolism, less effective for volume replacement. Normal saline is preferred, making this incorrect, as it’s not the nurse’s first choice for rapid fluid replacement in diarrhea.

Choice D reason: 0.45% sodium chloride is hypotonic, unsuitable for rapid volume replacement in hypovolemia. Normal saline is optimal, making this incorrect, as it’s less effective than the nurse’s choice of isotonic fluid for the patient’s low blood pressure.

A. Heart rate. B. Blood pressure. C. Respiratory rate.

Correct Answer is ["A","B"]

Explanation

Choice A reason: Increased heart rate is a physical sign of unrelieved pain, as the sympathetic response elevates pulse. This aligns with pain assessment, making it a correct sign the nurse would identify in a patient experiencing uncontrolled pain during evaluation.

Choice B reason: Elevated blood pressure is a common sign of unrelieved pain due to stress-induced sympathetic activation. This aligns with pain assessment, making it a correct physical sign the nurse would expect in a patient with ongoing pain.

Choice C reason: Respiratory rate may increase with pain but is less consistent than heart rate or blood pressure, which are direct sympathetic responses. This is incorrect, as it’s less reliable compared to the nurse’s focus on heart rate and blood pressure.

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A patient with sickle cell disease (SCD) may need large doses of opioids for pain relief.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse admits a patient with a low BP who reports severe diarrhea for several days from a Clostridium difficile infection. Which IV fluid would the nurse associate with the need to rapidly replace the patient’s fluid volume?

Correct Answer is A

Explanation

Identify two physical signs of unrelieved pain.

Correct Answer is ["A","B"]

Explanation

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