(Select All That Apply).
A nurse is collaborating with a healthcare team to develop an individualized care plan for a patient with sickle cell disease.
Which interventions are appropriate for the nurse to include in the plan to manage the patient's condition? .
Administering blood transfusions to increase the number of healthy red blood cells.
Providing genetic counseling and education for individuals and families affected by sickle cell disease.
Educating patients about the importance of regular follow-up appointments and adherence to prescribed treatment regimens.
Offering oxygen therapy for patients with acute chest syndrome or respiratory distress.
Encouraging patients to engage in high-intensity physical activities to improve overall health.
Correct Answer : B,C,D
Choice A rationale:
Administering blood transfusions to increase the number of healthy red blood cells.
This choice is not appropriate for the management of sickle cell disease because blood transfusions are typically reserved for specific situations, such as severe anemia, acute complications, or in patients with frequent vaso-occlusive crises.
It is not a routine intervention for all patients with sickle cell disease.
Choice B rationale:
Providing genetic counseling and education for individuals and families affected by sickle cell disease.
Genetic counseling and education are essential for patients and families affected by sickle cell disease.
This helps individuals understand the inheritance pattern, make informed family planning decisions, and manage the emotional and psychological aspects of living with a genetic disorder.
Education can also include information on preventive measures.
Choice C rationale:
Educating patients about the importance of regular follow-up appointments and adherence to prescribed treatment regimens.
Regular follow-up appointments and adherence to prescribed treatment regimens are crucial in managing sickle cell disease.
Patients need ongoing monitoring and support to detect complications early, manage pain, and optimize their overall health.
Non-adherence can lead to exacerbations and complications.
Choice D rationale:
Offering oxygen therapy for patients with acute chest syndrome or respiratory distress.
Oxygen therapy is vital for patients with sickle cell disease, especially when they experience acute chest syndrome or respiratory distress.
This intervention helps improve oxygenation, alleviate respiratory distress, and prevent further complications.
Adequate oxygenation is essential to minimize tissue damage and support the body during these acute events.
Choice E rationale:
Encouraging patients to engage in high-intensity physical activities to improve overall health.
Encouraging high-intensity physical activities is not appropriate for patients with sickle cell disease, as it can trigger vaso-occlusive crises and increase the risk of complications.
Patients with sickle cell disease are typically advised to engage in moderate, low-impact physical activities to maintain their health without exacerbating their condition.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale:
To encourage the patient to avoid stressful situations to minimize anxiety.
Avoiding stressful situations is not a comprehensive solution for managing anxiety and depression related to a chronic disease.
While stress management is important, the primary goal should be to address the emotional and psychological impact of the disease and provide support and coping strategies.
Choice B rationale:
To promote self-care strategies, such as stress management and pain management techniques.
Promoting self-care strategies is a valuable component of addressing anxiety and depression, but the primary goal is to address the emotional and psychological impact of the disease.
This can include providing emotional support, counseling, and coping strategies beyond stress and pain management.
Choice D rationale:
To administer prescribed antidepressant medications to alleviate symptoms of depression.
While administering antidepressant medications may be a treatment option, it is not the primary goal of the nurse's intervention.
The primary goal is to address the emotional and psychological impact and provide support and coping strategies.
Medications may be part of a broader treatment plan, but they are not the primary focus of nursing care.
Correct Answer is ["A"]
Explanation
Choice B rationale:
Renal Failure Renal failure is not the most likely complication in this case.
The client's sharp chest pain, aggravated by deep breaths, is more consistent with the symptoms of Acute Chest Syndrome.
This syndrome is a common complication of sickle cell disease and is characterized by chest pain, fever, cough, and shortness of breath.
While kidney complications can occur in sickle cell disease, they are not the primary concern based on the client's presentation.
Choice C rationale:
Acute Chest Syndrome is a more pressing concern due to its potential to lead to severe respiratory distress.
Choice D rationale:
Functional Asplenia Functional asplenia may contribute to the risk of infections in individuals with sickle cell disease, but it is not the primary cause of the client's current symptoms.
The client's chest pain and difficulty breathing are more indicative of Acute Chest Syndrome, a serious and potentially life-threatening complication of sickle cell disease.
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