Which statement by a patient indicates good understanding of the ...

[schs14]

Which statement by a patient indicates good understanding of the nurse's teaching about prevention of sickle cell crisis?
 
  a. Home oxygen therapy is frequently used to decrease sickling.
  b. There are no effective medications that can help prevent sickling.
  c. Routine continuous dosage narcotics are prescribed to prevent a crisis.
  d. Risk for a crisis is decreased by having an annual influenza vaccination.

Question 2

It is important for the nurse providing care for a patient with sickle cell crisis to
 
  a. limit the patient's intake of oral and IV fluids.
  b. evaluate the effectiveness of opioid analgesics.
  c. encourage the patient to ambulate as much as tolerated.
  d. teach the patient about high-protein, high-calorie foods.

[olivia_paige29]

Answer to Question 1

ANS: D
Because infection is the most common cause of a sickle cell crisis, influenza, Haemophilus influenzae, pneumococcal pneumonia, and hepatitis immunizations should be administered. Although continuous dose opioids and oxygen may be administered during a crisis, patients do not receive these therapies to prevent crisis. Hydroxyurea (Hydrea) is a medication used to decrease the number of sickle cell crises.

Answer to Question 2

ANS: B
Pain is the most common clinical manifestation of a crisis and usually requires large doses of continuous opioids for control. Fluid intake should be increased to reduce blood viscosity and improve perfusion. Rest is usually ordered to decrease metabolic requirements. Patients are instructed about the need for dietary folic acid, but high-protein, high-calorie diets are not emphasized.

[schs14]

Excellent

[kthug]

TYSM