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 D

Explanation

A. "Conscious sedation will be administered to you prior to the procedure." Needle aspiration breast biopsies typically use local anesthesia, not conscious sedation.
B. "The results of the biopsy will be immediately available." Biopsy results usually take a few days to be processed and reviewed.
C. "You may place a heating pad on the breast to relieve discomfort following the procedure." Applying a cold pack, rather than a heating pad, is generally recommended to reduce swelling and bruising.
D. "You should wear a well-fitting bra to minimize bruising following the procedure." Wearing a well-fitting bra can provide support and help minimize bruising and discomfort after the
procedure.

A. Elevated blood pressure above 140/90 B. Report of dryness with vaginal intercourse C. Report of urinary retention D. Elevated body temperature above 37.8° C (100° F)

Correct Answer is B

Explanation

A. Elevated blood pressure above 140/90. While hypertension can occur in middle age, it is not specifically associated with perimenopause.
B. Report of dryness with vaginal intercourse. Vaginal dryness is a common symptom of perimenopause due to decreasing estrogen levels.
C. Report of urinary retention. Urinary symptoms in perimenopause more commonly include frequency and urgency, rather than retention.
D. Elevated body temperature above 37.8° C (100° F). While hot flashes are common during perimenopause, they do not typically cause a sustained elevated body temperature.

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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?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is B

Explanation

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