The nurse admits a patient who is in a sickle cell crisis. The nurse should prepare for which intervention as the top priority in the management of the patient?

Oxygen administration

Blood transfusion

Intravenous fluid therapy

Pain management

Answer and Explanation

The Correct Answer is D

A.   Oxygen therapy may be indicated if the patient shows signs of respiratory distress or has low oxygen saturation levels, but it does not address the underlying pain or dehydration associated with the crisis.
B.   Blood transfusions can be an effective treatment for severe complications of sickle cell disease, including acute chest syndrome or severe anemia. However, transfusions are not typically the immediate priority in the early management of a sickle cell crisis unless there is a clear indication of severe anemia or complications.
C.   IV fluid therapy is crucial for managing dehydration, which can exacerbate sickle cell crises. Adequate hydration helps reduce blood viscosity and can alleviate some symptoms. However, while important, fluid therapy alone does not address the immediate and often severe pain that patients experience.
D.   Pain management is the top priority in the management of a patient in a sickle cell crisis. Patients often experience severe pain due to vaso-occlusive events, and addressing pain is essential for patient comfort and quality of care.

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Correct Answer is A

Explanation

A. This statement indicates a good understanding of nutritional needs. High-protein foods are essential for maintaining muscle mass and supporting immune function, particularly for individuals with HIV. Finger foods can also help if the client has a reduced appetite or difficulty with larger meals.
B. While hydration is important, 1 liter may not be sufficient for overall health, especially if the client is experiencing weight loss or other symptoms of dehydration. The nurse would typically recommend a higher intake, considering fluid needs can vary based on activity level and overall health.
C. This statement may not be optimal for weight gain. For someone struggling with weight maintenance, smaller, more frequent meals may be more beneficial than three large meals. Large meals might lead to fullness and decrease overall caloric intake, which can hinder weight gain efforts.
D. While fats can provide a high caloric density, a diet excessively high in unhealthy fats is not ideal. It’s important to focus on healthy fats (like avocados, nuts, and olive oil) rather than just increasing fat intake indiscriminately.

A. Neutropenia B. Anemia C. Leukopenia D. Left Shift

Correct Answer is D

Explanation

A. Neutropenia refers to an abnormally low level of neutrophils in the blood. This condition can result from various factors, including severe infections, bone marrow issues, or certain medications. However, in the context of a severe bacterial infection, you would expect an increase in neutrophils, not a decrease.
B. Anemia is a condition characterized by a lack of healthy red blood cells to carry adequate oxygen to the body’s tissues. While infections can lead to anemia, it is not a direct indicator of white blood cell production or response to a bacterial infection.
C. Leukopenia refers to a decrease in the overall white blood cell count. Like neutropenia, it indicates a reduced ability to fight infection, which is not consistent with a severe bacterial infection where the body is actively trying to produce more white blood cells.
D. A "left shift" indicates the presence of increased immature neutrophils (such as band cells) in the blood, which occurs when the bone marrow releases these cells into circulation in response to a severe infection. This reflects the body’s effort to combat an infection, typically seen in bacterial infections.

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The nurse admits a patient who is in a sickle cell crisis. The nurse should prepare for which intervention as the top priority in the management of the patient?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is providing teaching for a client who has stage 2 HIV disease and is having difficulty maintaining normal weight. Which of the following statements by the client should indicate to the nurse an understanding of the teaching?

Correct Answer is A

Explanation

Correct Answer is D

Explanation

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