During an outpatient well visit with a patient who has sickle cell anemia, you make it PRIORITY to assess the patient's?

Hemoglobin A1C level

Appetite

Reflexes

Vaccination history

Answer and Explanation

The Correct Answer is D

A.   Hemoglobin A1C level is not typically assessed in patients with sickle cell anemia as it is primarily used to monitor long-term blood sugar control in individuals with diabetes mellitus.
B.   While appetite may be relevant to the overall health of the patient, it is not the priority assessment in a patient with sickle cell anemia.
C.   Reflexes may be assessed during the physical examination, but they are not the priority assessment in a patient with sickle cell anemia.
D.   Vaccination history is the priority assessment in a patient with sickle cell anemia because individuals with sickle cell disease are at increased risk of infections, particularly from
encapsulated bacteria. Therefore, ensuring that the patient is up-to-date on vaccinations, including pneumococcal and meningococcal vaccines, is crucial for preventing serious infections.

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Correct Answer is A

Explanation

A. "Treatment for vaginal yeast infections must be prescribed by the provider." This statement is correct because antifungal medications, which are required to treat vaginal yeast infections, are prescription-based.
B. "Vaginal yeast infections present as a thick, white discharge." While this is a common symptom of vaginal yeast infections, it alone is not sufficient for diagnosis.
C. "The use of oral contraceptives will decrease the risk for vaginal yeast infections." This statement is incorrect because oral contraceptives may sometimes increase the risk of vaginal yeast infections.

D. "There is usually no itching with vaginal yeast infections as the fungus does not invade the vaginal wall." This statement is incorrect because itching is a common symptom of vaginal yeast infections due to irritation caused by the overgrowth of yeast in the vaginal area.

A. "Dietary supplements have not been tested and approved by the government." B. "Dietary supplements may be expensive and are not typically covered by insurance." C. "There is not enough evidence that dietary supplements are effective for erectile dysfunction." D. "Dietary supplements can cause a drug-drug interaction with nitrates."

Correct Answer is D

Explanation

A. "Dietary supplements have not been tested and approved by the government." While this statement may be true, it is not directly related to the potential interaction between dietary supplements and nitroglycerin.

B. "Dietary supplements may be expensive and are not typically covered by insurance." While cost considerations are important, they are not directly related to the potential interaction
between dietary supplements and nitroglycerin.
C. "There is not enough evidence that dietary supplements are effective for erectile dysfunction."
While this statement may be true, it is not directly related to the potential interaction between dietary supplements and nitroglycerin.
D. "Dietary supplements can cause a drug-drug interaction with nitrates." Nitroglycerin is a medication commonly used for angina, and it interacts with erectile dysfunction medications
such as sildenafil (Viagra) due to its vasodilatory effects, potentially causing severe hypotension.
Therefore, it is crucial for the nurse to educate the client about the risk of interactions between dietary supplements and nitroglycerin.

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During an outpatient well visit with a patient who has sickle cell anemia, you make it PRIORITY to assess the patient's?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in a health clinic is reinforcing teaching to a newly licensed nurse about vaginal yeast infections. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

A nurse is providing teaching about dietary supplements to a client who has erectile dysfunction and has been prescribed nitroglycerin. Which of the following statements is the most important for the nurse to include in the teaching?

Correct Answer is D

Explanation

A nurse is reinforcing teaching to a client who is preparing for a pelvic examination with Papanicolaou (Pap) test. Which of the following statements should the nurse include in the teaching?

A 16-year-old is admitted with sickle cell crisis. The patient has a pain scale rating of 10 and the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature 101.4°F. Select all the appropriate nursing interventions for this patient at this time?

During a sickle cell crisis, which of the following symptoms is most commonly experienced by individuals with sickle cell disease?

Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?

A patient with a history of sickle cell disease is being admitted for sickle cell crisis. Which of the following nursing diagnoses should guide the nurse when providing care for the patient?

A nurse is teaching a client about primary syphilis. Which of the following information should the nurse include in the teaching?

A nurse in a provider's office is reinforcing teaching to a client who is at high risk for ovarian cancer. Which of the following statements by the client indicates an understanding of the teaching?

A patient has received a medication that has caused significant hemolysis. Upon assessment, which of the following would the healthcare provider expect?