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 B

Explanation

Choice A reason: Screening for metastasis is not typically necessary for BCC because it rarely metastasizes.

Choice B reason: Minimizing sun exposure is crucial in reducing the risk for future BCC, as UV radiation is a significant risk factor.
Choice C reason: Watchful waiting is not a standard treatment plan for BCC; treatment usually involves removal of the lesion.
Choice D reason: Low-dose systemic chemotherapy is generally not used to treat BCC; local treatments such as surgery or topical medications are preferred.

A. Droplet precautions B. Contact precautions C. Standard precautions are only necessary as there is no risk of transmission. D. Airborne precautions

Correct Answer is B

Explanation

Choice A reason (precautions): Droplet precautions are not the primary recommendation for Hepatitis A, as it is not primarily spread through droplets.
Choice B reason (precautions): Contact precautions are recommended for patients with Hepatitis A due to the risk of fecal-oral transmission, especially in a patient with incontinence.
Choice C reason (precautions): While standard precautions are always necessary, they are not sufficient alone for Hepatitis A, which requires additional precautions due to its mode of transmission.
Choice D reason (precautions): Airborne precautions are not required for Hepatitis A, as it is not spread through the air.

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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

Which information should the nurse include in the teaching plan for a patient diagnosed with basal cell carcinoma (BCC)?

Correct Answer is B

Explanation

You are admitting a client from a long-term care facility with a new diagnosis of Hepatitis A. He has a history of a cerebral vascular accident (CVA) that has left him incontinent of both urine and stool. Which of the following is the most appropriate level of precautions?

Correct Answer is B

Explanation

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