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 D
Explanation
A. While concerns about making false reports are understandable, they should not prevent a nurse from reporting suspected abuse. In many jurisdictions, "good faith" reporting protects individuals who report suspected abuse from liability, even if the report turns out to be false.
B. A nurse does not need concrete evidence to report suspected child abuse. The law typically requires that suspicion alone is sufficient to warrant a report. Nurses are encouraged to report any suspicion of abuse to ensure that the appropriate authorities can investigate.
C. Commitment from a potential abuser to stop the abuse does not negate the responsibility to report. Mandatory reporting laws require that any suspicion of child abuse be reported to the appropriate authorities, regardless of the abuser's intentions.
D. This statement accurately reflects the legal obligation of health care professionals. If a nurse has any suspicion of child abuse, they are mandated to report it to the appropriate authorities. This ensures that investigations can occur and that children are protected from potential harm.
Correct Answer is A
Explanation
A. This action exemplifies nursing advocacy. Ensuring that a client has given informed consent means that the nurse is making sure the patient understands their treatment options, the risks involved, and the potential benefits.
B. While sharing experiences can be helpful, influencing a client’s decision based on the nurse's own experiences can compromise the client’s autonomy. Advocacy means supporting the patient in making their own informed choices rather than directing them toward a specific decision.
C. Discussing a client’s medical treatment with someone who is not part of the healthcare team or not authorized to receive that information violates patient confidentiality and privacy rights. Advocacy includes respecting the client’s right to privacy and not disclosing information without consent.
D. While nurses can provide education and information about treatment options, recommending specific surgical or treatment options is generally outside the scope of nursing practice. Advocacy involves helping clients understand their options and supporting them in their decisions, not directing them toward specific interventions.
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