The nurses reviewing triggers of sickle cell crisis with a 14-year-old male client with sickle cell anemia. Which statement by the client indicates an understanding of the teaching? Select all that apply.

"I will wash my hands frequently.”

"Being out in cold weather can cause me to have a sickle cell crisis"

"I will restrict my fluids it during illness"

"I will need to carry a water bottle with me for after school sports."

"I have to be very careful to take my medications as directed."

Answer and Explanation

Correct Answer : A,B,D,E

A. Washing hands frequently is important for preventing infections, which can trigger a sickle cell crisis.

B. Cold weather can cause blood vessels to constrict, increasing the risk of a sickle cell crisis, making this statement correct.

C. Restricting fluids during illness is not advisable; staying hydrated is crucial for preventing sickle cell crises.

D. Carrying a water bottle encourages adequate hydration, which is essential for individuals with sickle cell anemia to help prevent crises.

E. Taking medications as directed is vital for managing sickle cell disease and preventing complications.

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Correct Answer is B

Explanation

A. Positioning for comfort is a common intervention during a vaso-occlusive crisis to alleviate pain.

B. Restricting fluid intake is contraindicated in vaso-occlusive crisis; hydration is crucial to help reduce sickling and improve circulation.

C. Avoiding strain on painful joints is appropriate to prevent exacerbating pain and potential damage.

D. Applying nasal oxygen at 2 liters may be indicated to ensure adequate oxygenation, especially if the child is experiencing any respiratory distress.

A. Encourage frequent fluids by mouth B. Encourage frequent voiding C. Wipe perineal area front to back D. Wear nylon underwear E. Complete the course of prescribed antibiotics

Correct Answer is ["A","B","C","E"]

Explanation

A. Encouraging frequent fluid intake helps to dilute the urine and promotes urination, which can help flush out bacteria.

B. Frequent voiding is essential to reduce the risk of bacterial growth in the bladder and to alleviate symptoms.

C. Wiping from front to back is important in preventing the spread of bacteria from the rectal area to the urethra, thereby reducing the risk of UTIs.

D. Wearing nylon underwear may trap moisture and create an environment conducive to bacterial growth; cotton underwear is preferred.

E. Completing the course of antibiotics is crucial for fully eradicating the infection and preventing recurrence.

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The nurses reviewing triggers of sickle cell crisis with a 14-year-old male client with sickle cell anemia. Which statement by the client indicates an understanding of the teaching? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is reviewing a health care provider's prescriptions for a child with sickle cell anemia who was admitted to the hospital for the treatment of vaso- occlosive crisis which prescription documented in the child's chart should the nurse question?

Correct Answer is B

Explanation

A nurse is caring for a child with a urinary tract infection. Which of the following should the nurse include in teaching for the child and family? Select all that apply

Correct Answer is ["A","B","C","E"]

Explanation

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