A nurse is assisting with the plan of care for a client who is experiencing sickle cell crisis. Which of the following interventions should the nurse include in the plan of care?
Provide a diet that is low in protein.
Avoid administration of the influenza vaccine.
Maintain the client on bed rest.
Decrease fluid intake to 1,500 mL daily.
The Correct Answer is C
A. Provide a diet that is low in protein: This is incorrect because clients in sickle cell crisis require a well-balanced diet with adequate protein, along with increased fluid intake to help maintain hydration and reduce the risk of further complications.
B. Avoid administration of the influenza vaccine: This is incorrect because vaccination, including the influenza vaccine, is important for preventing infections that can exacerbate sickle cell crises.
C. Maintain the client on bed rest: This is correct because bed rest helps to reduce the energy expenditure and stress on the body, which can help manage pain and prevent further complications during a sickle cell crisis.
D. Decrease fluid intake to 1,500 mL daily: This is incorrect because increased fluid intake is crucial in sickle cell crisis to help prevent dehydration and promote proper blood flow, thereby reducing the risk of vaso-occlusive episodes.
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Related Questions
Correct Answer is A
Explanation
A. "Consume vitamin D supplements daily": This is correct as vitamin D is crucial for calcium absorption and bone health, which helps in preventing osteoporosis.
B. "Obtain an x-ray of your growth plate every 6 months": This is not necessary for osteoporosis prevention. Growth plates are relevant in children and adolescents, not in older adults.
C. "Decrease vitamin K in your diet": Vitamin K is important for bone health and should not be decreased. It plays a role in bone mineralization and should be included in a balanced diet.
D. "Engage in passive range-of-motion exercises": Active weight-bearing exercises are more beneficial for preventing osteoporosis. Passive range-of-motion exercises do not provide the same benefits for bone density and strength.
Correct Answer is D
Explanation
A. Limit physical activity until bladder continence is achieved: Limiting physical activity is not recommended and can impact overall health. Encouraging regular activity may help improve bladder function and overall well-being.
B. Encourage the client to contract the abdominal muscles when they experience the urge to void: Contracting the abdominal muscles is not typically recommended for managing incontinence. The focus should be on bladder training and strengthening the pelvic floor muscles.
C. Instruct the client to void as soon as they feel the urge: This approach may not support bladder training, which aims to increase the time between voids to improve bladder control.
D. Instruct the client to void at scheduled times throughout the day: This is correct as scheduled voiding helps retrain the bladder, gradually increasing the intervals between voids and improving continence.
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