Which nursing intervention is important when providing care for a patient with sickle cell crisis?

Evaluating the eﬀectiveness of opioid analgesics

Limiting the patient's intake of oral and IV ﬂuids

Teaching the patient about high-protein, high-calorie foods

Encouraging the patient to ambulate as much as tolerated

Answer and Explanation

The Correct Answer is A

Choice A reason: Evaluating the eﬀectiveness of opioid analgesics is crucial as pain management is a primary concern for patients experiencing a sickle cell crisis.

Choice B reason: Limiting the patient's intake of oral and IV ﬂuids is not recommended as hydration is important for patients with sickle cell crisis to reduce blood viscosity and improve circulation.

Choice C reason: Teaching the patient about high-protein, high-calorie foods is beneficial for long-term management but is not the immediate nursing intervention during a crisis.

Choice D reason: Encouraging ambulation may be part of recovery but is not the primary intervention during an acute sickle cell crisis due to the risk of pain exacerbation.

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Correct Answer is C

Explanation

Choice A reason: Respiratory Acidosis is characterized by a low pH and a high PCO2, which is not the case here.

Choice B reason: Respiratory Alkalosis would involve a high pH and a low PCO2, which is not consistent with the patient's PCO2 level.

Choice C reason: Metabolic Alkalosis is indicated by a high pH and a high HCO3, which matches the patient's blood gas values.

Choice D reason: Metabolic Acidosis would show a low pH and a low HCO3, which is the opposite of this patient's presentation.

A. Fluid volume status. B. Atrial contraction (kick). C. Resistance to blood ﬂow. D. Myocardial compliance.

Correct Answer is C

Explanation

Choice A reason: Fluid volume status aﬀects preload, not afterload.
Choice B reason: Atrial contraction contributes to filling of the ventricles, not to afterload.
Choice C reason: Afterload is the resistance left ventricular must overcome to circulate blood, which is accurately described as resistance to blood ﬂow.
Choice D reason: Myocardial compliance refers to the elasticity of the heart muscle, which aﬀects how the heart fills, not the resistance it must overcome to eject blood.

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Which nursing intervention is important when providing care for a patient with sickle cell crisis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient's blood gases show a pH of 7.53, PCO2 of 48, and HCO3 of 36 mEq/L. The nurse realizes that the acid-base disorder this patient is demonstrating is which of the following?

Correct Answer is C

Explanation

Afterload is most accurately described by which of the following?

Correct Answer is C

Explanation

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