Which nursing intervention is important when providing care for a patient with sickle cell crisis?

Evaluating the eﬀectiveness of opioid analgesics

Limiting the patient's intake of oral and IV ﬂuids

Teaching the patient about high-protein, high-calorie foods

Encouraging the patient to ambulate as much as tolerated

Answer and Explanation

The Correct Answer is A

Choice A reason: Evaluating the eﬀectiveness of opioid analgesics is crucial as pain management is a primary concern for patients experiencing a sickle cell crisis.

Choice B reason: Limiting the patient's intake of oral and IV ﬂuids is not recommended as hydration is important for patients with sickle cell crisis to reduce blood viscosity and improve circulation.

Choice C reason: Teaching the patient about high-protein, high-calorie foods is beneficial for long-term management but is not the immediate nursing intervention during a crisis.

Choice D reason: Encouraging ambulation may be part of recovery but is not the primary intervention during an acute sickle cell crisis due to the risk of pain exacerbation.

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Correct Answer is D

Explanation

Choice A reason: While painful and red-tinged urination is a concern, it is not directly related to the intravenous pyelogram procedure.

Choice B reason: The end of the menstrual period is not relevant to the intravenous pyelogram procedure.

Choice C reason: Drinking ﬂuids is generally encouraged but does not need to be reported unless it is restricted before the procedure.

Choice D reason: The client's allergy to shellfish is important to report because the contrast dye used in an intravenous pyelogram may contain iodine, which can cause a reaction in people with shellfish allergies.

A. Rest pain B. Dependent rubor C. Intermitent claudication D. Irregular foot ulcers

Correct Answer is C

Explanation

Choice A reason: Rest pain is a symptom of advanced PAD and is not typically an early symptom.

Choice B reason: Dependent rubor may indicate PAD but is not as specific as intermitent claudication for early-stage PAD.

Choice C reason: Intermitent claudication, which is pain during exercise that resolves with rest, is a classic early symptom of PAD.
Choice D reason: Irregular foot ulcers are a sign of advanced PAD and are not typically found in the early stages of the disease.

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Which nursing intervention is important when providing care for a patient with sickle cell crisis?

Nursing Test Bank

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