The nurse is teaching a patient who is experiencing a sickle cell crisis about non-pharmacological interventions to help alleviate symptoms. Which of the following interventions will the nurse recommend?

Encourage the patient to engage in moderate exercise to improve circulation.

Advise the patient to apply warm compresses to the painful areas to reduce discomfort.

Suggest the patient drink caffeinated beverages to stay alert and energized.

Recommend the patient take cold showers to help reduce pain and swelling.

Answer and Explanation

The Correct Answer is B

Choice A reason: Encouraging the patient to engage in moderate exercise to improve circulation is not appropriate during a sickle cell crisis. Exercise can increase oxygen demand and exacerbate the crisis. Rest and avoiding strenuous activities are recommended.

Choice B reason: Applying warm compresses to the painful areas can help reduce discomfort and improve circulation. Warmth helps relax muscles and dilate blood vessels, providing relief during a sickle cell crisis.

Choice C reason: Suggesting the patient drink caffeinated beverages to stay alert and energized is not appropriate. Caffeine can cause dehydration, which can worsen the sickling of red blood cells. Maintaining hydration with water and non-caffeinated beverages is essential.

Choice D reason: Recommending cold showers to help reduce pain and swelling is incorrect. Cold can cause vasoconstriction, which can worsen pain and reduce blood flow to affected areas. Warm compresses are preferred.

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Correct Answer is B

Explanation

Choice A reason: "Abdominal ultrasound should not be performed if you are pregnant" is incorrect. Abdominal ultrasound is a safe and non-invasive diagnostic test that can be performed during pregnancy without any risk to the patient or the fetus.

Choice B reason: "Guaiac-based fecal occult blood testing is a non-invasive test that is commonly performed" is correct. This test is used to detect hidden blood in the stool and is commonly used for diagnostic purposes in patients with irritable bowel syndrome (IBS). It is safe and non-invasive.

Choice C reason: "You will have to remove any device containing metal for a flexible sigmoidoscopy" is correct but does not address the safety concern regarding IBS. Patients do need to remove metal objects for certain diagnostic procedures, but the focus should be on providing information about the non-invasive nature of specific tests.

Choice D reason: "The radiologist will perform the hydrogen breath test under general anesthesia to protect your airway" is incorrect. Hydrogen breath tests are typically performed without anesthesia. Patients simply need to blow into a device at specific intervals after ingesting a substance. The test is non-invasive and does not require anesthesia.

A. "I can eat any foods I want before dialysis as long as I don't drink too much fluid." B. "I need to report any unusual changes in my access site, like redness or swelling." C. "I will need to check my blood pressure regularly to monitor for changes during dialysis." D. "I should contact my healthcare provider if I notice swelling in my hands, feet, or ankles." E. "I understand that hemodialysis will permanently cure my kidney disease."

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

Explanation

Choice A reason: Eating any foods before dialysis as long as fluid intake is limited is incorrect. Patients undergoing hemodialysis need to follow specific dietary restrictions to manage electrolyte balance and prevent complications. A renal diet typically limits potassium, phosphorus, and sodium intake, in addition to fluid restrictions.

Choice B reason: Reporting any unusual changes in the access site, like redness or swelling, is correct. Changes at the access site can indicate infection or other complications and require immediate attention.

Choice C reason: Checking blood pressure regularly to monitor for changes during dialysis is correct. Blood pressure monitoring is essential during dialysis to detect hypotension or hypertension and adjust treatment accordingly.

Choice D reason: Contacting the healthcare provider if swelling in hands, feet, or ankles is noticed is correct. Swelling can indicate fluid overload or other complications that need to be addressed.

Choice E reason: Understanding that hemodialysis will permanently cure kidney disease is incorrect. Hemodialysis is a treatment that replaces kidney function but does not cure kidney disease. It manages symptoms and removes waste products from the blood.

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The nurse is teaching a patient who is experiencing a sickle cell crisis about non-pharmacological interventions to help alleviate symptoms. Which of the following interventions will the nurse recommend?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is caring for a patient with irritable bowel syndrome (IBS) who expresses concern about the safety of the ordered diagnostic test. What nursing statement provides correct information to address the patient's concern?

Correct Answer is B

Explanation

The nurse is teaching a patient who is scheduled for hemodialysis about the process and potential complications. Which of the following statements by the patient indicates to the nurse the need for further teaching? (Select All That Apply)

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

Explanation

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