A nurse is preparing to discharge a patient who has sickle cell anemia following an acute crisis episode.
Which instructions should the nurse include in the teaching?
Restrict outdoor activity to 1 hour per day.
Apply cold compresses when your child expresses pain.
Drink fluids multiple times every day.
Monitor your temperature daily.
The Correct Answer is C
Choice A rationale
Restricting outdoor activity to 1 hour per day is not necessary for patients with sickle cell anemia. While strenuous exercise and overexertion should be avoided, regular moderate exercise is beneficial and helps to promote good overall health.
Choice B rationale
Applying cold compresses when the child expresses pain is not recommended. Cold can lead to vasoconstriction, which can trigger a sickle cell crisis. Instead, warm compresses are often used to help increase circulation and reduce pain.
Choice C rationale
Drinking fluids multiple times every day is crucial. Hydration helps to keep the blood diluted and reduces the chances of a sickle cell crisis. Dehydration can increase the risk of a sickle cell crisis.
Choice D rationale
Monitoring temperature daily is not specifically required for patients with sickle cell anemia. However, any signs of infection, such as fever, should be reported to a healthcare provider immediately, as infection can trigger a sickle cell crisis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
Increasing the rate of maintenance IV infusion is not the first action the nurse should take when observing that the fetal heart rate begins to slow after the start of a contraction and the lowest rate occurs after the peak of the contraction. This pattern is known as late decelerations and is often associated with fetal hypoxemia due to insufficient placental perfusion.
Choice B rationale
The nurse should first place the client in the lateral position. This position can improve placental blood flow and may help to resolve the late decelerations.
Choice C rationale
Administering oxygen using a nasal cannula may be beneficial, but it is not the first action the nurse should take. The priority is to improve placental blood flow, which can be achieved by changing the client’s position.
Choice D rationale
Elevating the client’s legs is not the first action the nurse should take. This action would not directly address the issue of late decelerations.
Correct Answer is B
Explanation
Choice A rationale
A democratic leadership style, while effective in many situations, may not be the best approach during a code blue. This style often involves group decision-making, which can be time-consuming.
Choice B rationale
An authoritarian leadership style is often most effective during a code blue. This style involves clear, direct communication and quick decision-making, which are crucial in emergency situations.
Choice C rationale
A laissez-faire leadership style involves a hands-off approach, which is not appropriate during a code blue. Quick decision-making and direct leadership are needed in these situations.
Choice D rationale
While a transformational leadership style can be effective in motivating and inspiring staff, it may not be the best approach during a code blue. This style often involves big-picture thinking and long-term goals, which are not the focus during an emergency situation.
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