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 ["B","D","F"]
Explanation
A. While nonsteroidal anti-inflammatories (NSAIDs) are commonly used medications, they do not typically have a high potential for abuse or addiction. Monitoring these medications for diversion is generally not a primary concern compared to other classifications.
B. Opioids are one of the most commonly abused medication classes due to their pain-relieving properties and high potential for addiction. They are frequently monitored closely for signs of diversion and theft in healthcare settings.
C. Although some antidepressants may have mild abuse potential, they are not generally associated with the same level of diversion or abuse as opioids, benzodiazepines, or stimulants. Therefore, they are not typically monitored as closely.
D. Benzodiazepines are known for their sedative effects and potential for dependency and abuse. They are often misused for their calming effects, making them a priority for monitoring in medication inventories.
E. Anticholinergics are not commonly associated with abuse or diversion. They are used primarily for specific medical conditions and do not have a high potential for addiction, so monitoring these medications is not a primary focus.
F. Central nervous system (CNS) stimulants, such as those used to treat ADHD, have significant potential for abuse and dependency. These medications can lead to feelings of euphoria and are often misused, making them important to monitor closely for diversion.
Correct Answer is B
Explanation
A. Battery refers to the intentional and unlawful physical contact with another person without their consent. In this scenario, the nurse did not intend to harm the patient; the action was accidental. Therefore, battery would not apply here.
B. Malpractice is a type of negligence that occurs when a healthcare professional fails to provide the standard of care that a reasonably competent nurse would provide in similar circumstances. Administering the wrong medication is a breach of duty, and if this mistake leads to harm (like an allergic reaction), the nurse can be held liable for malpractice.
C. Abuse generally refers to intentional harm or mistreatment of a patient, often involving physical or emotional harm. Since the nurse's actions were accidental and not intended to cause harm, this would not constitute abuse.
D. Assault involves the threat or attempt to cause physical harm to another person, creating a fear of imminent harm. Since the nurse did not intend to threaten or harm the patient, and the incident was not a threat, this does not fit the definition of assault.
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