The nurse is caring for a client who has just been admitted for vaso-occlusive sickle cell crisis. The client's Vital signs are: HR 1 10/min, BP 138/82, RR 22, Sp02 97% on 2 liters oxygen by nasal cannula. T. 98.8. pain 10/10 to the left lower extremity. Which of the following actions should the nurse take first?

Increase oxygen to 6 liters per minute.

Administer PRN Morphine Sulfate IV push for pain.

Request an order for a PRN antihypertensive medication.

Begin administering prescribed IV fluids.

Answer and Explanation

The Correct Answer is B

A. The client’s SpO2 is already at 97%, so increasing oxygen is unnecessary. Oxygen is only required if hypoxia is present.

B. Pain management is the priority in vaso-occlusive crisis. Severe pain leads to stress, increasing oxygen demand and worsening sickling. IV opioids (e.g., morphine) are the standard treatment.

C. The BP is elevated but not critically high, and pain-related stress may be contributing. Treating pain first is the priority.

D. IV fluids help with hydration and reducing sickling, but pain management should be addressed first to provide immediate relief.

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Correct Answer is A

Explanation

A. A positive ELISA test requires confirmation with a more specific test, such as a Western blot or indirect immunofluorescence assay (IFA), to rule out false positives.

B. A positive ELISA does not indicate the absence of HIV; further testing is needed for confirmation.

C. HIV testing does not involve direct visualization of infected cells under a microscope.

D. HIV can still be transmitted at any stage, even if symptoms are not present.

A. Increase oxygen to 6 liters per minute. B. Administer PRN Morphine Sulfate IV push for pain. C. Request an order for a PRN antihypertensive medication. D. Begin administering prescribed IV fluids.

Correct Answer is B

Explanation

A. The client’s SpO2 is already at 97%, so increasing oxygen is unnecessary. Oxygen is only required if hypoxia is present.

B. Pain management is the priority in vaso-occlusive crisis. Severe pain leads to stress, increasing oxygen demand and worsening sickling. IV opioids (e.g., morphine) are the standard treatment.

C. The BP is elevated but not critically high, and pain-related stress may be contributing. Treating pain first is the priority.

D. IV fluids help with hydration and reducing sickling, but pain management should be addressed first to provide immediate relief.

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Naxlex Comprehensive Predictor Exams

A client is tested for human immunodeficiency virus (HIV) infection with an enzyme-linked immunosorbent assay (ELISA), and the test result is positive. What would the nurse tell the client?

Correct Answer is A

Explanation

Correct Answer is B

Explanation

The nurse is providing discharge teaching to a client newly diagnosed With HIV. Which of the following statements would the nurse include in the teaching to reduce the risk of opportunistic infections? Select all that apply.

A nurse is teaching a client who has a new diagnosis of hemolytic anemia. Which of the following information should the nurse include in the teaching?

The nurse is providing discharge education for a client who will be taking ferrous sulfate orally. Which of the following statements should the nurse include in the teaching?

Eight years after beginning antiretroviral therapy (ART), a patient with human immunodeficiency virus infection has a CD4+ cell count of 81 cell/L and an "undetectable" viral load. Which intervention would the nurse include in the plan of care?

The nurse is assessing a Client who presented with fatigue, weakness, and a low hemoglobin level. Which of the following Signs and symptoms would lead the nurse to Suspect hemolytic anemia?

A nurse is assessing a client who was brought to the emergency department with an ankle injury presenting as swelling pain, and erythema. Which of the following should the nurse identify as part of the body s inflammatory response? (Select All that Apply.)

A nurse is assessing a client diagnosed with anemia related to gastrointestinal (61) bleeding. Which prescription would the nurse expect at discharge?

An RN is reviewing diagnostic tests for different types of anemia with a student nurse. Which of the following does the student correctly state is used for the diagnosis of types of anemia? (Select all that apply).