A nurse is caring for a client who has sickle cell anemia. The client asks. "Why do I feel so tired and fatigued all of the time?" Which of the following information should the nurse provide?
"You have had a gastrointestinal bleed."
"You have a low ferritin level."
"You have an autoimmune disease."
"You have fewer red blood cells."
The Correct Answer is D
A. "You have had a gastrointestinal bleed.": While a GI bleed can cause anemia and fatigue, it is not a direct cause of fatigue in sickle cell anemia.
B. "You have a low ferritin level.": Low ferritin indicates iron deficiency anemia, not directly related to sickle cell anemia.
C. "You have an autoimmune disease.": Sickle cell anemia is a genetic disorder, not an autoimmune disease.
D. "You have fewer red blood cells." Sickle cell anemia results in a decreased number of healthy red blood cells (RBCs) because the sickled cells are fragile and prone to breaking apart. This leads to anemia, which reduces the blood's ability to carry oxygen, causing fatigue and tiredness.
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Related Questions
Correct Answer is B
Explanation
A. The nurse wears a gown when bathing the client: This is appropriate to prevent contact with the lesions and reduce the risk of spreading the virus.
B. The nurse admits another client who has shingles to the client's double room. Shingles (herpes zoster) is highly contagious, especially for individuals who have never had chickenpox or been vaccinated against it. Cohorting clients with shingles in a shared room is not recommended due to the risk of viral transmission and potential complications.
C. The nurse wears gloves when providing direct care to the client: This is necessary to protect against direct contact with the lesions and prevent the spread of infection.
D. The nurse wears an N95 respirator mask: While not always required, wearing an N95 respirator can be appropriate in certain circumstances to prevent aerosolized transmission, especially in cases of disseminated shingles.
Correct Answer is B
Explanation
A. Notifying the provider: This is important but should be done after stopping the transfusion.
B. Stopping the transfusion. Chills and back pain during a blood transfusion can indicate a serious transfusion reaction, such as an acute hemolytic reaction. The priority action is to stop the transfusion immediately to prevent further complications
C. Covering the client with a blanket: This addresses the symptom of chills but does not address the potential life-threatening reaction.
D. Assessing the client's skin for a rash: This is part of the assessment for transfusion reactions but is not the priority compared to stopping the transfusion.
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