The nurse should instruct a young female adult with sickle cell anemia to do which of the following?

Avoid travel to cities where the oxygen level is lower

Strenuous exercise prevents the development of sickle cell crisis

Avoid flying on commercial airlines

Drink plenty of fluids when outside in hot weather

Answer and Explanation

The Correct Answer is D

Choice A reason: This is incorrect. Traveling to cities where the oxygen level is lower, such as high-altitude areas, can trigger a sickle cell crisis by reducing the amount of oxygen in the blood. People with sickle cell anemia should avoid such places or take precautions such as using supplemental oxygen¹².

Choice B reason: This is incorrect. Strenuous exercise does not prevent sickle cell crisis, but rather can cause it by increasing the body's oxygen demand and dehydration. People with sickle cell anemia should avoid overexertion and rest frequently during physical activity¹³.

Choice C reason: This is incorrect. Flying on commercial airlines is not prohibited for people with sickle cell anemia, as long as they stay hydrated and avoid alcohol and caffeine. However, some people may need to use supplemental oxygen during flights, especially if they have a history of acute chest syndrome or pulmonary hypertension¹⁴.

Choice D reason: This is correct. Drinking plenty of fluids when outside in hot weather is important for people with sickle cell anemia, as dehydration can cause the red blood cells to sickle and block blood vessels. Staying hydrated can help prevent or reduce the severity of sickle cell crises¹⁵.

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Correct Answer is C

Explanation

Choice A reason: Having a urinary output of greater than 30 mL per hour for 24 hours is not the most appropriate outcome for the problem of impaired tissue perfusion. This outcome is more relevant for the problem of fluid volume excess or renal impairment, which are not the case for this client.

Choice B reason: Discussing which lifestyle modifications will be necessary to maintain health is not the most appropriate outcome for the problem of impaired tissue perfusion. This outcome is more relevant for the problem of knowledge deficit or risk for recurrence, which are not the priority for this client.

Choice C reason: Expressing no complaints of chest discomfort or shortness of breath is the most appropriate outcome for the problem of impaired tissue perfusion. This outcome indicates that the client's cardiac output and oxygen delivery are adequate and that the interventions are effective.

Choice D reason: Having clear breath sounds bilaterally upon auscultation is not the most appropriate outcome for the problem of impaired tissue perfusion. This outcome is more relevant for the problem of impaired gas exchange or pulmonary congestion, which are not the case for this client.

A. Decrease the incidence of tachycardia B. Dilate the coronary arteries C. Decrease cardiac workload D. Increase the strength of myocardial contraction

Correct Answer is A

Explanation

Choice A reason: Decreasing the incidence of tachycardia is not the main therapeutic effect of atenolol for coronary artery disease. Atenolol is a beta-blocker that lowers the heart rate, but this is not the primary goal of therapy for coronary artery disease. Coronary artery disease is caused by atherosclerosis, which is the buildup of plaque in the arteries that supply the heart. This reduces the blood flow and oxygen to the heart muscle and causes angina, or chest pain.

Choice B reason: Dilating the coronary arteries is not the therapeutic effect of atenolol for coronary artery disease. Atenolol does not directly affect the diameter of the coronary arteries. It works by blocking the beta receptors in the heart and reducing the response to adrenaline and other stress hormones. This lowers the blood pressure and the oxygen demand of the heart.

Choice C reason: This is the correct answer. Decreasing cardiac workload is the therapeutic effect of atenolol for coronary artery disease. Atenolol reduces the contractility and the excitability of the heart muscle, which lowers the force and the frequency of the heartbeats. This decreases the amount of work that the heart has to do and the amount of oxygen that it needs. This helps prevent or relieve anginal attacks and improve the quality of life of the client.

Choice D reason: Increasing the strength of myocardial contraction is not the therapeutic effect of atenolol for coronary artery disease. Atenolol does not increase the strength of myocardial contraction, but rather decreases it. Increasing the strength of myocardial contraction would increase the oxygen demand of the heart and worsen the angina. Atenolol aims to reduce the oxygen demand of the heart and improve the blood supply to the heart.

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The nurse should instruct a young female adult with sickle cell anemia to do which of the following?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse, who is caring for a client diagnosed with coronary artery disease, prioritizes the problem of impaired tissue perfusion in the plan of care. Which outcome would be most appropriate? The client will:

Correct Answer is C

Explanation

The nurse administers atenolol 50 mg PO bid to a client who has coronary artery disease. The nurse understands that the therapeutic effect of this medication for this client is to:

Correct Answer is A

Explanation

A client who has chronic stable angina is being discharged. Which statement by the client indicates an understanding of the discharge teaching?

The nurse is caring for a client diagnosed with iron deficiency anemia as the result of a gastrointestinal (GI) bleed. What discharge instruction should the nurse provide if this client is also prescribed aspirin 81 mg daily?

The nurse is reviewing the chart of a client with an indication of myocardial infarction or unstable angina. Which laboratory test result(s) should the nurse recognize as an indication of myocardial injury? (Select all that apply)

The nurse is about to administer the combination medication chlorthalidone and atenolol to a client diagnosed with chronic hypertension. Which interventions should the nurse include in the plan of care? (Select all that apply)

A client with alcoholism is admitted to a medical-surgical unit with a serum magnesium level of 0.9 mEq/L. Which clinical manifestations would the nurse expect to find in this client?

The nurse is providing care for a client diagnosed with cardiovascular disease and hypertension who is complaining of chest pain. Which medication should the nurse administer?

The nurse is working collaboratively with the physical therapist to develop an exercise program for a client recently diagnosed with hypertension. Which intervention would be best to assist the client in maintaining the exercise program?

Which statement, made by the client with coronary artery disease, alerts the nurse that the client may be experiencing difficulty adapting to the illness?