The client with sickle cell disease (SCD) has recently been sick and is now experiencing a vaso-occlusive crisis. Which priority interventions should the nurse implement?

Encourage frequent ambulation in the hallways

Monitor the client's RBC count every 4 hours

Treat them in an outpatient setting

Maintain IV fluids, administer pain medications, and provide supplemental oxygen

Answer and Explanation

The Correct Answer is D

A. Encouraging frequent ambulation is not appropriate during a vaso-occlusive crisis, as it can exacerbate pain and further compromise blood flow.

B. While monitoring the RBC count is important, it is not the most immediate intervention during a crisis. The focus should be on managing pain and preventing complications.

C. Treating the client in an outpatient setting is inappropriate during a vaso-occlusive crisis, which typically requires inpatient care for effective pain management and hydration.

D. Maintaining IV fluids, administering pain medications, and providing supplemental oxygen are critical interventions that address the acute needs of the client in crisis, aiming to alleviate pain and improve oxygenation.

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Correct Answer is ["A","C","D","E"]

Explanation

A. Hemoglobin level is a key component of the CBC, reflecting the oxygen-carrying capacity of the blood.

B. Blood glucose level is not part of the CBC; it is typically measured separately in metabolic panels or glucose tests.

C. White blood cell count is included in the CBC and is important for assessing the immune response.

D. Platelet count is also part of the CBC and is essential for evaluating clotting function.

E. Red blood cell count is included in the CBC and is crucial for assessing overall blood health and anemia status.

A. Candidiasis B. Xerostomia C. Halitosis D. Gingivitis

Correct Answer is A

Explanation

A. Candidiasis, commonly known as thrush, is characterized by white lesions on the tongue and is a common opportunistic infection in clients with AIDS due to their compromised immune system.

B. Xerostomia refers to dry mouth and does not cause white lesions; it can occur in various conditions but is not an opportunistic infection.

C. Halitosis is bad breath and does not correlate with white lesions on the tongue; it can result from various causes but is not an infection.

D. Gingivitis involves inflammation of the gums and may present with red, swollen gums but does not typically cause white lesions on the tongue.

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The client with sickle cell disease (SCD) has recently been sick and is now experiencing a vaso-occlusive crisis. Which priority interventions should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Which of the following are components of the complete blood count (CBC)? Select all that apply.

Correct Answer is ["A","C","D","E"]

Explanation

A nurse is caring for a client with acquired immunodeficiency syndrome (AIDS). The nurse notes white lesions on the client's tongue. What opportunistic infection is this client experiencing?

Correct Answer is A

Explanation

A nurse is monitoring a client receiving a blood transfusion. Which of the following findings indicates an allergic transfusion reaction?

A nurse is providing education to a client diagnosed with sickle cell anemia. Which of the following can be anticipated will be a trigger for a sickle cell crisis?

A nurse is providing education to a client with human immunodeficiency virus (HIV) who is experiencing wasting syndrome. Which of these suggestions is most appropriate?

A nurse is caring for a client who is on anti-retroviral therapy (ART), which includes indinavir sulfate (Crixivan), a protease inhibitor, for the treatment of HIV. Which client statement demonstrates that teaching was effective?

A nurse is caring for a client who has chronic renal disease and is taking epoetin alfa (Procrit). Which laboratory result would be used to assess the effectiveness of this medication?

A nurse is caring for a client with Acquired Immunodeficiency Syndrome (AIDS). Which client statement demonstrates a need for further education?

A nurse is providing teaching to a client who has vitamin B12 deficiency. Which of the following foods should the nurse instruct the client to consume? Select all that apply.

Select the appropriate treatment for the following transfusion reactions