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 A

Explanation

Choice A reason : Smoking tobacco is the most significant risk factor for developing emphysema. It damages the air sacs in the lungs and leads to the characteristic symptoms of emphysema.
Choice B reason : While pollution can contribute to respiratory problems, it is not the most common risk factor for emphysema compared to smoking tobacco.
Choice C reason : Age between 20 to 30 years is not a risk factor for emphysema. Emphysema typically develops after many years of smoking, often in older adults.
Choice D reason : Asthma is a diﬀerent respiratory condition and is not a risk factor for emphysema. However, individuals with asthma who smoke may have an increased risk of developing COPD, which includes emphysema.

A. Right arm muscle spasms B. Temperature of 99.9°F (37.7°C) C. Loss of the right radial pulse D. Pain with right arm movement

Correct Answer is C

Explanation

Choice A reason: Right arm muscle spasms may be uncomfortable but are not as critical as circulatory issues.

Choice B reason: A temperature of 99.9°F (37.7°C) is slightly elevated but not immediately alarming post-surgery.

Choice C reason: Loss of the right radial pulse could indicate a serious complication such as compartment syndrome, which requires urgent atention.

Choice D reason: Pain with arm movement is expected post-surgery but is not as urgent as loss of pulse.

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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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