A nurse is providing discharge teaching to a client who had a sickle cell crisis. Which of the following health promotion strategies should the nurse include in the teaching?(Select All that Apply.)
Frequent handwashing
Avoiding the annual flu vaccine.
Taking an iron supplement daily
Visiting the eye doctor annually
Joining a support group
Correct Answer : A,D,E
A. Frequent handwashing is an important health promotion strategy for individuals with sickle cell disease. They are at increased risk for infections due to potential splenic dysfunction. Good hand hygiene helps reduce the risk of infections, which can trigger a sickle cell crisis.
B. Clients with sickle cell disease are strongly encouraged to receive the annual flu vaccine. Influenza can lead to serious complications in these patients, including increased risk of respiratory infections and sickle cell crises. Vaccination is a key preventive measure.
C. Routine iron supplementation is not typically recommended for individuals with sickle cell disease unless there is a specific diagnosis of iron deficiency anemia. Sickle cell patients can have normal or elevated ferritin levels, and unnecessary iron supplementation can lead to iron overload, which is harmful.
D. Regular eye examinations are important for individuals with sickle cell disease, as they are at risk for ocular complications, including retinopathy. Annual visits help monitor eye health and prevent vision problems.
E. Joining a support group can be beneficial for individuals with sickle cell disease. It provides emotional support, education, and a sense of community. Sharing experiences with others who understand the challenges of living with the disease can enhance coping strategies and overall well-being.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. While monitoring temperature is important in assessing for infection, it is not the priority assessment before administering morphine. Temperature does not directly relate to the immediate effects or risks associated with opioid administration.
B. Blood pressure monitoring is essential, especially in a postoperative patient. However, opioids primarily impact the respiratory system rather than directly causing significant changes in blood pressure. While hypotension can occur with opioids, it is not the most immediate concern when administering morphine.
C. This is the priority assessment. Opioids, including morphine, can cause respiratory depression, which is a serious and potentially life-threatening side effect. Before administering morphine, it is crucial to assess the respiratory rate to ensure the patient is not at risk for respiratory distress. If the respiratory rate is low (typically less than 12 breaths per minute), the nurse may need to hold the medication and notify the healthcare provider.
D. While it is important to monitor heart rate, especially in postoperative patients, the primary concern with morphine administration is its effect on respiration. The heart rate may not be as critical to assess immediately before administering morphine as the respiratory rate is.
Correct Answer is B
Explanation
A. This response dismisses the client’s immediate needs and does not offer a supportive or constructive solution. It puts the responsibility on the client without addressing her request for assistance or exploring alternatives.
B. This is an appropriate and constructive response. It acknowledges the client’s situation and shows willingness to help find alternative resources, such as community services, meal delivery programs, or assistance from family or friends. This approach empowers the client and provides practical support.
C. While this response expresses willingness to help, it goes against the nurse's job description by implying that the nurse would perform tasks that are not permitted. It's important for the nurse to maintain professional boundaries and adhere to policies regarding their role.
D. This response is not appropriate because it focuses on the nurse's personal reasons and does not address the client's needs. It may come off as dismissive and fails to offer any alternative solutions or support.
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