The nurse should instruct a young female adult with sickle cell anemia to do which of the following?
Avoid travel to cities where the oxygen level is lower
Strenuous exercise prevents the development of sickle cell crisis
Avoid flying on commercial airlines
Drink plenty of fluids when outside in hot weather
The Correct Answer is D
Choice A reason: This is incorrect. Traveling to cities where the oxygen level is lower, such as high-altitude areas, can trigger a sickle cell crisis by reducing the amount of oxygen in the blood. People with sickle cell anemia should avoid such places or take precautions such as using supplemental oxygen¹².
Choice B reason: This is incorrect. Strenuous exercise does not prevent sickle cell crisis, but rather can cause it by increasing the body's oxygen demand and dehydration. People with sickle cell anemia should avoid overexertion and rest frequently during physical activity¹³.
Choice C reason: This is incorrect. Flying on commercial airlines is not prohibited for people with sickle cell anemia, as long as they stay hydrated and avoid alcohol and caffeine. However, some people may need to use supplemental oxygen during flights, especially if they have a history of acute chest syndrome or pulmonary hypertension¹⁴.
Choice D reason: This is correct. Drinking plenty of fluids when outside in hot weather is important for people with sickle cell anemia, as dehydration can cause the red blood cells to sickle and block blood vessels. Staying hydrated can help prevent or reduce the severity of sickle cell crises¹⁵.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: The client requires additional teaching if they state that they can have aspirin for pain after the bone marrow aspiration. Aspirin is a drug that inhibits platelet aggregation and increases the risk of bleeding. ¹ The client should avoid aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs) for at least 48 hours after the procedure. ² The client should use acetaminophen or another pain reliever that does not affect blood clotting.
Choice B reason: The client does not require additional teaching if they state that the nurse will check the puncture site at least every 4 hours after the procedure. This is a correct statement, as the nurse should monitor the site for signs of bleeding, infection, or hematoma. ² The nurse should also apply pressure and a sterile dressing to the site and instruct the client to keep it dry and clean for 24 hours.
Choice C reason: The client does not require additional teaching if they state that they will have some pain that is similar to a toothache. This is a correct statement, as the client may experience mild to moderate pain at the site of the aspiration, which may radiate to the hip or back. ² The pain usually subsides within a few hours or days.
Choice D reason: The client does not require additional teaching if they state that they understand that this is a sterile procedure. This is a correct statement, as the bone marrow aspiration is performed under sterile conditions to prevent infection. ² The nurse should wear gloves, gown, mask, and eye protection and use a sterile needle, syringe, and antiseptic solution.
Correct Answer is B
Explanation
Choice A reason: The international normalized ratio (INR) is a measure of the blood's ability to clot. It is not affected by ferrous sulfate therapy, which is used to treat iron deficiency anemia. The normal range of INR is 0.8 to 1.2 seconds.
Choice B reason: Hemoglobin is the protein in red blood cells that carries oxygen. It is the main indicator of anemia and the response to iron therapy. The normal range of hemoglobin for adults is 12 to 18 g/dL. A hemoglobin level of 14 g/dL suggests that the patient's anemia has improved with ferrous sulfate therapy.
Choice C reason: Serum iron is the amount of iron in the blood. It is not a reliable indicator of anemia or iron therapy, as it can fluctuate with dietary intake, infection, inflammation, and other factors. The normal range of serum iron for adults is 50 to 170 mcg/dL.
Choice D reason: Platelet count is the number of platelets in the blood. Platelets are involved in blood clotting and wound healing. They are not affected by ferrous sulfate therapy, which is used to treat iron deficiency anemia. The normal range of platelet count for adults is 150,000 to 450,000/mm3.
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