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During an outpatient well visit with a patient who has sickle cell anemia, you make it PRIORITY to assess the patient's?

A.

Hemoglobin A1C level

B.

Appetite

C.

Reflexes

D.

Vaccination history

Answer and Explanation

The Correct Answer is D

A.    Hemoglobin A1C level is not typically assessed in patients with sickle cell anemia as it is primarily used to monitor long-term blood sugar control in individuals with diabetes mellitus.
B.    While appetite may be relevant to the overall health of the patient, it is not the priority assessment in a patient with sickle cell anemia.
C.    Reflexes may be assessed during the physical examination, but they are not the priority assessment in a patient with sickle cell anemia.
D.    Vaccination history is the priority assessment in a patient with sickle cell anemia because individuals with sickle cell disease are at increased risk of infections, particularly from
encapsulated bacteria. Therefore, ensuring that the patient is up-to-date on vaccinations, including pneumococcal and meningococcal vaccines, is crucial for preventing serious infections.
 


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Related Questions

Correct Answer is A

Explanation

A. The use of latex condoms. Latex condoms are highly effective in reducing the transmission of many STIs when used consistently and correctly.
B. Avoiding sexual contact if a partner is known to have an STI. While avoiding contact with an infected partner is important, many people may not know if their partner is infected, and this does not provide protection against unknown infections.
C. Vaccination against vaccine-preventable STIs. While vaccination is important (e.g., for HPV and hepatitis B), it does not protect against all STIs.
D. Limiting sexual partners. Limiting sexual partners can reduce risk but does not eliminate the risk of STIs if other protective measures are not used.

Correct Answer is D

Explanation

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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