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.

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Correct Answer is ["480"]

Explanation

To calculate the infusion rate, you need to determine the total volume to be infused and the time over which it will be infused.

Total volume to be infused = 200 mL

Time for infusion = 25 minutes

Infusion rate = Total volume / Time Infusion rate = 200 mL / 25 minutes = 8 mL/min

To convert this to mL/hour (since infusion pumps are typically set in mL/hour): Infusion rate = 8 mL/min × 60 minutes/hour = 480 mL/hour

A. Baked chicken, baked beans, french fries, and cake B. Grilled steak, fresh green beans, mashed potatoes, and ice cream C. Tomato soup, fried flounder, white rice and an apple D. Baked salmon, fresh broccoli, brown rice and fresh fruit

Correct Answer is D

Explanation

A) Baked chicken, baked beans, french fries, and cake: While baked chicken and baked beans may have some nutritional benefits, the inclusion of french fries and cake adds unhealthy fats and sugars, which are not recommended for a client with hypertension. High sodium levels in processed foods can also be problematic.

B) Grilled steak, fresh green beans, mashed potatoes, and ice cream: Grilled steak can be high in saturated fat, and mashed potatoes may be loaded with butter or cream. Ice cream adds excessive sugar and fat, which are not ideal for managing hypertension.

C) Tomato soup, fried flounder, white rice, and an apple: Fried flounder is high in unhealthy fats, and white rice can be high in carbohydrates without the fiber found in whole grains. While the apple is a healthy choice, the overall menu does not support hypertension management effectively.

D) Baked salmon, fresh broccoli, brown rice, and fresh fruit: This option is the most appropriate for a client with hypertension. Baked salmon is rich in omega-3 fatty acids, fresh broccoli provides fiber and vitamins, brown rice offers whole grains, and fresh fruit adds essential nutrients without excessive sugars. This combination supports heart health and helps manage blood pressure effectively.

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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

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?

Correct Answer is ["480"]

Explanation

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

Correct Answer is D

Explanation

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