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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. "In some types, HPV will go away on its own and does not cause health issues.": This is
important information to include as it reassures individuals that not all HPV infections lead to health problems.
B. "Some forms of HPV can lead to cervical cancer.": It is crucial to educate young adults about the link between certain types of HPV and the development of cervical cancer.
C. "HPV is most commonly spread during vaginal or anal sexual contact.": Providing information about how HPV is transmitted helps individuals understand how to reduce their risk of infection.
D. "You cannot get HPV if you have had only 1 sex partner.": This statement is HPV can be transmitted through sexual contact, including with only one sexual partner.
E. "There are no vaccinations or treatments available against HPV and its symptoms.": This statement is There are vaccinations available to protect against certain types of HPV, and treatments are available for HPV-related health issues such as genital warts and cervical abnormalities.
Correct Answer is C
Explanation
A. Creation of a "sterile" environment with laminar airflow rooms is not practical or necessary for preventing transmission of pathogens to patients with depressed bone marrow function. It may also not be feasible in many healthcare settings.
B. Placement of patients in private rooms with HEPA filtration may help reduce airborne pathogens but is not the most important measure for preventing transmission of harmful pathogens to patients with depressed bone marrow function.
C. Strict and frequent handwashing by all people having contact with the patient is the most important measure for preventing transmission of harmful pathogens, including bacteria and viruses, to immunocompromised patients. Hand hygiene is a fundamental infection control measure that significantly reduces the risk of healthcare-associated infections.
D. Administration of prophylactic antibiotics may be part of the treatment plan for some patients with depressed bone marrow function to prevent bacterial infections, but it is not the most important measure for preventing transmission of harmful pathogens. Hand hygiene is more effective in reducing the transmission of a wide range of pathogens, including bacteria, viruses, and fungi.
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