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
Explanation
A. "Do you sleep well at night?" Sleep disturbances, including insomnia and night sweats, are common symptoms of menopause.
B. "Have you experienced increased hair growth?" Increased hair growth is not typically associated with menopause; rather, menopause is often associated with hair thinning or loss.
C. "Have you been experiencing chills?" Chills are not a common symptom of menopause; hot flashes and night sweats are more typical.
D. "When did you begin your menses?" This question is not relevant to confirming menopause symptoms, as it focuses on the onset of menstruation rather than menopausal changes.
Correct Answer is C
Explanation
A. Too few red blood cells is termed "anemia."
B. Leukocytosis refers to an abnormally high number of white blood cells.
C. Leukopenia is a condition characterized by a decreased number of white blood cells in the blood.
D. Too few platelets is known as "thrombocytopenia."
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