The nurse caring for the client diagnosed with sickle cell crisis places priority on which specific goal(s) prior to discharge? (SELECT ALL THAT APPLY)

Decrease fluid intake of 1000 mL/day to prevent fluid overload

The client verbalizes the procedure for a 24-hour urine collection

Oxygenation and perfusion to meet cellular and metabolic needs

Complications are prevented or minimized

Pain is relieved or controlled

Answer and Explanation

Correct Answer : C,D,E

A. Decrease fluid intake of 1000 mL/day to prevent fluid overload: This goal is not appropriate. Clients with sickle cell crisis often require increased fluid intake to prevent dehydration and promote circulation, so limiting fluids is counterproductive.

B. The client verbalizes the procedure for a 24-hour urine collection: While understanding this procedure may be relevant for monitoring kidney function or hydration status, it is not a priority goal directly related to managing sickle cell crisis.
C. Oxygenation and perfusion to meet cellular and metabolic needs: Ensuring adequate oxygenation and perfusion is crucial in managing sickle cell crisis, as compromised blood flow can exacerbate pain and lead to further complications.

D. Complications are prevented or minimized: Preventing complications, such as infections or acute chest syndrome, is a key goal in managing a client with sickle cell disease, making this a critical aspect of discharge planning.

E. Pain is relieved or controlled: Pain management is a primary focus during a sickle cell crisis. Ensuring that pain is effectively managed before discharge is essential for the client's comfort and overall well-being.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is D

Explanation

A. The layers of your heart are weak and thin: This statement does not accurately address the underlying cause of chest pain in coronary artery disease. Weakness in heart layers is not a common explanation for angina.
B. The pain you have is because your heart valves are damaged: While valve damage can lead to cardiac symptoms, it is not the primary cause of chest pain associated with coronary artery disease, which is more directly related to blood flow issues.

C. Your heart muscle is weak and is not pumping forcefully: This statement could be true in the context of heart failure but does not specifically explain the chest pain associated with coronary artery disease.

D. The pain is caused by decreased oxygen to the heart muscle: This is the most accurate and appropriate response. Chest pain in coronary artery disease, often referred to as angina, typically occurs due to reduced blood flow and, consequently, oxygen delivery to the heart muscle. This explanation helps the client understand the physiological basis of their symptoms.

A. I usually wait about two hours after I feel chest discomfort to seek medical attention." B. "I know that I should carry my medication with me in case develop chest pain." C. "My wife and I will learn to cook using the "good" cooking das D. "I feel a little anxious when I get chest discomfort."

Correct Answer is A

Explanation

A) "I usually wait about two hours after I feel chest discomfort to seek medical attention.": This statement is particularly concerning as it suggests a dangerous delay in seeking help during a potentially critical situation. Waiting to seek medical attention for chest discomfort can indicate a lack of understanding of the seriousness of the symptoms, which may hinder effective adaptation to the illness and could result in severe health risks.

B) "I know that I should carry my medication with me in case I develop chest pain.": This statement shows that the client is aware of the importance of having their medication accessible during a potential cardiac event. It indicates a level of preparedness and understanding of their condition, suggesting that the client is adapting well to managing their illness.

C) "My wife and I will learn to cook using the 'good' cooking methods.": This statement reflects a proactive approach to lifestyle modifications, indicating that the client is willing to make dietary changes to improve their health. Such positive steps are a sign of adapting effectively to coronary artery disease.
D) "I feel a little anxious when I get chest discomfort.": While anxiety is a natural response to experiencing chest discomfort, this statement alone does not indicate an inability to adapt. Acknowledging feelings of anxiety can be part of a healthy coping mechanism as the client learns to manage their condition.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

The nurse caring for the client diagnosed with sickle cell crisis places priority on which specific goal(s) prior to discharge? (SELECT ALL THAT APPLY)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The client with coronary artery disease asks the nurse. "Why do I get this chest pain?" Which would be the most appropriate response?

Correct Answer is D

Explanation

Which statement, made by the client with coronary artery disease, alerts the nurse that the client may be experiencing difficulty adapting to the illness?

Correct Answer is A

Explanation

The client, who is scheduled for a nuclear stress test, tells the nurse that the breakfast tray was not delivered and complains of hunger. Which of the following statements represent the nurse's best response?

A client is experiencing sickle cell crisis precipitated by a right lower lobe pneumonia. The vital signs are: HR-110/min: RR-28; B/P-96/54: T-100.8 PO: Pulse Oximetry-96%. What is the best nursing action?

The nurse evaluates a client's response to the prescribed atorvastatin. Which finding indicates an expected outcome?

The nurse is administering Furosemide 40 mg PO to a client with peripheral edema. Which method should the nurse use to best evaluate the client's response to this medication?

The nurse is caring for a client who has been taking aspirin 81mg PO daily for the last six months. Which clinical findings are of most concern? (SELECT ALL THAT APPLY)

The client is prescribed rosuvastatin 10 mg PO daily. What information will the nurse provide in the teaching about this medication?

The nurse is assisting a client diagnosed with hypertension with menu selection. Which items should the nurse suggest?

A client is ordered to receive a bolus of 200 mL of NSS in 25 minutes. At what rate should the nurse set the IV pump?