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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A reason: Packed RBCs should be transfused as soon as possible once the nurse has prepared everything necessary for the transfusion.
Choice B reason: Waiting 2 hours after obtaining the blood is not necessary and could delay needed treatment.
Choice C reason: The client's mealtime should not delay the transfusion of blood, which is a time-sensitive medical treatment.
Choice D reason: While the client's readiness is important, it should not unduly delay the transfusion if the client is medically stable and the transfusion is necessary.
Correct Answer is A
Explanation
Choice A reason : A renal biopsy is an invasive procedure that can directly assess the extent of glomerular damage and is considered the gold standard for diagnosing the cause of abnormal GFR.
Choice B reason : Routine urinalysis can detect abnormalities in the urine but cannot quantify GFR or directly assess glomerular damage.
Choice C reason : A renal scan can evaluate renal perfusion and function but is less specific for glomerular damage compared to a biopsy.
Choice D reason : Creatinine clearance can estimate GFR but does not provide information on the specific cause of glomerular damage.
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