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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is B
Explanation
Choice A reason: Requesting a job that requires sitting all day does not reflect an understanding of correct body mechanics or how to manage chronic back pain through activity.
Choice B reason: Beginning exercises to strengthen the lower back indicates that the patient understands the importance of muscle strength in supporting the spine and preventing back pain.
Choice C reason: Keeping the back straight while lifting is important, but the statement about lifting "heavy objects above my waist" suggests a misunderstanding, as lifting objects above the waist increases the risk of back injury.
Choice D reason: Sleeping with knees and back extended is not recommended for preventing back pain. It is better to sleep with knees slightly bent to maintain the natural curve of the spine.
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