A client with sickle cell anemia has "Pain related to thrombotic crisis" as a nursing diagnosis. Which of the following is the most appropriate nursing intervention for this diagnosis?

Explain disease course and expected signs and symptoms to the family.

Check peripheral pulses, color, and temperature of extremities every 30 hours.

Reposition the client, paying close attention to proper body alignment.

Provide active range of motion (ROM) every 2 hours.

Answer and Explanation

The Correct Answer is C

A.   Explain disease course and expected signs and symptoms to the family. While education is essential, it is not directly related to addressing the acute pain associated with thrombotic crisis.
B.   Check peripheral pulses, color, and temperature of extremities every 30 hours. This intervention is important for assessing peripheral perfusion but may not directly address the acute pain associated with thrombotic crisis.
C.   Reposition the client, paying close attention to proper body alignment. Repositioning the client to ensure proper body alignment can help alleviate pressure points and discomfort associated with thrombotic crisis.

D. Provide active range of motion (ROM) every 2 hours. While ROM exercises are important for preventing complications such as joint stiffness, they may not directly address the acute pain associated with thrombotic crisis.

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Correct Answer is ["B","C"]

Explanation

A. Scrotal warmth and redness are not typically early signs of testicular cancer. Common signs include painless testicular swelling or a lump.
B. Close male relatives of individuals with testicular cancer have a higher risk of developing the disease themselves, suggesting a genetic component.
C. Testicular cancer typically occurs in younger men, with the highest incidence between ages 15 to 40.
D. Testicular cancer usually affects only one testicle, though it can occur in both.
E. Impotence is not a common complication of orchiectomy, the surgical removal of one or both testicles. However, other complications such as infertility may occur.

A. Three to seven days after menses stops B. Prior to the beginning of menses C. On the second day of menstruation D. On the same day every month

Correct Answer is A

Explanation

A. Three to seven days after menses stops. This is the best time to perform BSE as the breasts are least likely to be swollen and tender during this period.
B. Prior to the beginning of menses. Breasts are more likely to be swollen and tender before menstruation, which can make it harder to detect abnormalities.
C. On the second day of menstruation. During menstruation, hormonal changes can affect breast tissue, making the examination less reliable.
D. On the same day every month. For those with regular menstrual cycles, it is recommended to perform BSE a few days after menses stops for more accurate results.

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A client with sickle cell anemia has "Pain related to thrombotic crisis" as a nursing diagnosis. Which of the following is the most appropriate nursing intervention for this diagnosis?

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Naxlex Comprehensive Predictor Exams

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Explanation

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Correct Answer is A

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