The client with sickle cell disease (SCD) has recently been sick and is now experiencing a vaso-occlusive crisis. Which priority interventions should the nurse implement?
Encourage frequent ambulation in the hallways
Monitor the client's RBC count every 4 hours
Treat them in an outpatient setting
Maintain IV fluids, administer pain medications, and provide supplemental oxygen
The Correct Answer is D
A. Encouraging frequent ambulation is not appropriate during a vaso-occlusive crisis, as it can exacerbate pain and further compromise blood flow.
B. While monitoring the RBC count is important, it is not the most immediate intervention during a crisis. The focus should be on managing pain and preventing complications.
C. Treating the client in an outpatient setting is inappropriate during a vaso-occlusive crisis, which typically requires inpatient care for effective pain management and hydration.
D. Maintaining IV fluids, administering pain medications, and providing supplemental oxygen are critical interventions that address the acute needs of the client in crisis, aiming to alleviate pain and improve oxygenation.
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View Related questions
Correct Answer is ["B","E","F"]
Explanation
A. Bananas are not a significant source of vitamin B12.
B. Eggs are a good source of vitamin B12 and should be included in the diet of someone with a deficiency.
C. Spinach contains folate but is not a reliable source of vitamin B12.
D. Carrots are not a source of vitamin B12.
E. Beef is an excellent source of vitamin B12 and should be consumed to help correct the deficiency.
F. Milk is a good source of vitamin B12 and can help increase intake for clients with a deficiency.
G. Quinoa does not contain vitamin B12 and should not be relied upon for addressing this deficiency.
Correct Answer is B
Explanation
A. Increasing the consumption of protein-rich foods like baked salmon is beneficial for clients with AIDS, as they often require higher protein intake to support their immune system and overall health.
B. Eating raw fruits and vegetables can pose a risk for clients with compromised immune systems, as these foods may harbor pathogens that can lead to infections. This statement indicates a need for further education regarding safe food handling and preparation.
C. Washing plates and utensils with soap and hot water is a proper practice to maintain hygiene and prevent infections, especially for clients with weakened immune systems.
D. Asking a partner to clean the cat's litter box is a good precaution since cat litter can be a source of toxoplasmosis, which can be harmful to immunocompromised individuals.