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Nursing Assessment for Sickle Cell Disease:

  • Detailed patient history, including family history of sickle cell disease
  • Assessment of vital signs, including temperature, heart rate, blood pressure, and respiratory rate
  • Evaluation of pain intensity and location
  • Monitoring for signs and symptoms of vaso-occlusive crisis, such as joint pain, fever, and swelling
  • Assessment of neurologic status, including cognitive function and sensory perception
  • Evaluation of skin integrity, looking for ulcers or areas of tissue damage
  • Monitoring for signs and symptoms of anemia, such as fatigue, pallor, and shortness of breath
  • Assessment of nutritional status
  • Evaluation of psychosocial well-being and coping mechanisms

Questions on Nursing Assessment for Sickle Cell Disease:

Correct Answer is B

Explanation

"Sickle cell disease is inherited in an autosomal dominant manner.”. This statement is also incorrect. Sickle cell disease is not inherited in an autosomal dominant manner. It is an autosomal recessive genetic disorder, as explained in

Correct Answer is D

Explanation

"Sickle-shaped cells can block blood vessels and impair blood flow.”. This is The correct answer. Sickle-shaped red blood cells can block blood vessels, leading to vaso-occlusive crises and impaired blood flow. This is a key part of the pathophysiology of sickle cell disease.

Correct Answer is ["A","C","D"]

Explanation

"Smoking tobacco to alleviate pain.”. Smoking tobacco is not an appropriate self-care strategy for individuals with sickle cell disease. Smoking can worsen the condition and increase the risk of complications. It is important to avoid smoking and any other activities that can harm the lungs or blood vessels in individuals with sickle cell disease.

Correct Answer is A

Explanation

Encouraging the client to smoke to relieve pain is not a safe or appropriate intervention. Smoking can lead to vasoconstriction and worsen the client's condition. It is essential to promote healthy behaviors and provide effective pain management rather than suggesting harmful practices like smoking.

Correct Answer is D

Explanation

Jaundice and dark urine are crucial clinical manifestations to monitor in a client with sickle cell disease during a crisis. Jaundice indicates the breakdown of red blood cells, which is a common occurrence during vaso-occlusive events. Dark urine results from the excretion of bilirubin, a byproduct of red blood cell breakdown. These manifestations provide important diagnostic information and guide treatment.

Correct Answer is C

Explanation

Delayed growth and development are long-term consequences of sickle cell disease, primarily seen in pediatric patients. In this scenario, the acute issue is the pain and discomfort the patient is currently experiencing, which is more indicative of a vaso-occlusive crisis.

Correct Answer is B

Explanation

Functional Asplenia Functional asplenia refers to the impaired function of the spleen, which is a common complication in sickle cell disease. However, the symptoms described by the child's parent, including paleness and easy fatigue, are more indicative of anemia, which is a consequence of sickle cell disease.

Correct Answer is ["A"]

Explanation

<p>Functional Asplenia Functional asplenia may contribute to the risk of infections in individuals with sickle cell disease, but it is not the primary cause of the client&#39;s current symptoms. The client&#39;s chest pain and difficulty breathing are more indicative of Acute Chest Syndrome, a serious and potentially life-threatening complication of sickle cell disease.</p>

<p>Monitoring for signs and symptoms of anemia, such as fatigue, pallor, and shortness of breath Anemia is a common complication in sickle cell disease, and monitoring for signs and symptoms of anemia is vital.</p> <p>Fatigue, pallor, and shortness of breath are typical manifestations of anemia,

Vascular occlusion. Vascular occlusion can be a significant issue in sickle cell disease, leading to pain and tissue damage, but it is not the aspect the nurse is likely evaluating in this patient based on the information provided. The patient's chief complaints are related to fatigue and frequent i

Providing emotional support and counseling to help patients cope with the chronic nature of the disease. The nurse is describing the importance of providing emotional support and counseling to help patients cope with the chronic nature of sickle cell disease and the pain associated with it. This int

"Taking hot showers or baths can help prevent vaso-occlusive crises.”. Taking hot showers or baths is not a recommended strategy for preventing vaso-occlusive crises. In fact, exposure to hot water can lead to dehydration, which is a risk factor for sickle cell crises. The nurse is likely to advis

Encouraging patients to engage in high-intensity physical activities to improve overall health. Encouraging high-intensity physical activities is not appropriate for patients with sickle cell disease, as it can trigger vaso-occlusive crises and increase the risk of complications. Patients with sickl

To prevent infections and enhance the immune system response. Oxygen therapy is not administered to prevent infections or enhance the immune system response. Its main purpose is to address respiratory distress and hypoxia in patients with acute chest syndrome.

<p>To administer prescribed antidepressant medications to alleviate symptoms of depression.<br /> While administering antidepressant medications may be a treatment option, it is not the primary goal of the nurse&#39;s intervention.<br /> The primary goal is to address the emotional and psychologic
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