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: Cleaning with an alcohol-based solution is not recommended as it can be irritating and does not prevent infection.
Choice B reason: Routine irrigation of the catheter is not recommended as it can introduce infection.
Choice C reason: Replacing the catheter routinely every three days is not recommended and can increase the risk of infection.
Choice D reason: Ensuring the catheter tubing is free of kinks, twisting, and dependent loops is important to maintain urine ﬂow and prevent infection.

A. Annual pneumococcal vaccine B. Maintain your ideal weight C. Annual inﬂuenza vaccine D. Stop or cut back on smoking

Correct Answer is D

Explanation

Choice A reason: The annual pneumococcal vaccine is recommended for preventing pneumococcal disease, which can be a complication of COPD, but it is not a primary prevention method for COPD itself.

Choice B reason: Maintaining ideal weight is important for overall health but is not directly related to the prevention of COPD.

Choice C reason: The annual inﬂuenza vaccine can help prevent ﬂu-related complications in individuals with COPD but is not a primary prevention method for COPD.

Choice D reason: Stopping or cutting back on smoking is the most eﬀective way to prevent COPD, as smoking is the leading cause 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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A nurse is caring for a client who has an indwelling urinary catheter. Which of the following actions should the nurse take to prevent infection?

Correct Answer is D

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Correct Answer is D

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