A nurse is caring for a client in the clinic

Exhibits

Complete the following sentence by using the list of options.

The nurse should first address the client's

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A. Frequent handwashing: This is an important strategy to prevent infections, which can trigger a sickle cell crisis. Clients with sickle cell disease are more susceptible to infections due to their compromised immune system, so teaching frequent handwashing can significantly reduce the risk of infection-related complications.
B. Avoiding the annual flu vaccine: Clients with sickle cell disease should not avoid the annual flu vaccine. In fact, the flu vaccine is strongly recommended for individuals with sickle cell disease to prevent influenza, which can increase the risk of complications. Avoiding it would place the client at greater risk for respiratory infections.
C. Taking an iron supplement daily: Sickle cell disease often leads to anemia, but iron supplementation is generally not recommended unless the client has a confirmed iron deficiency. In many cases, iron overload can occur, especially if the client has frequent blood transfusions. It is essential to assess iron levels before recommending supplements.
D. Visiting the eye doctor annually: Clients with sickle cell disease are at an increased risk for eye problems, such as retinopathy. Annual eye exams are crucial to detect early signs of complications and prevent vision loss. Regular monitoring helps maintain overall eye health and provides early intervention if needed.
E. Joining a support group: Sickle cell disease can be emotionally and physically challenging. Joining a support group can provide the client with emotional support, practical coping strategies, and connections with others who have similar experiences. This is an essential aspect of overall well-being in managing the condition.

A. Urinary urgency: Urinary urgency is not typically a primary symptom of renal calculi. While it can occur if the stone is near the bladder or if there is an associated urinary tract infection (UTI), it is not directly linked to the presence of kidney stones. The more common symptoms include pain and hematuria.
B. Flank pain: Flank pain is one of the hallmark symptoms of renal calculi. It occurs when the stone obstructs or irritates the renal pelvis or the ureter, causing intense pain. This pain typically radiates from the lower back or side toward the groin, depending on the stone's location. It is a significant indicator of renal calculi.
C. Gastrointestinal upset: Gastrointestinal upset can occur, but it is not specific to renal calculi. It may be a secondary symptom, such as nausea or vomiting, which can happen when pain from kidney stones is intense. However, gastrointestinal symptoms are not a primary diagnostic feature of renal calculi.
D. Fever: Fever can occur in the presence of renal calculi, especially if the stone causes an obstruction that leads to infection, such as a urinary tract infection or pyelonephritis. A fever is a sign that the infection has likely reached the kidneys, and it is a critical symptom to monitor.
E. Incontinence: Incontinence is not a typical symptom of renal calculi. While stones may cause discomfort or urgency, they do not generally lead to incontinence. Incontinence is more commonly associated with other urinary tract issues, such as infections or neurological disorders.