Author Question: A client admitted for sickle cell crisis is distraught after learning her child also has the ... (Read 92 times)

viki

  • Hero Member
  • *****
  • Posts: 525
A client admitted for sickle cell crisis is distraught after learning her child also has the disease. What response by the nurse is best?
 
  a. Both you and the father are equally responsible for passing it on.
  b. I can see you are upset. I can stay here with you a while if you like.
  c. It's not your fault; there is no way to know who will have this disease.
  d. There are many good treatments for sickle cell disease these days.

Question 2

A nurse caring for a client with sickle cell disease (SCD) reviews the client's laboratory work. Which finding should the nurse report to the provider?
 
  a. Creatinine: 2.9 mg/dL
  b. Hematocrit: 30
  c. Sodium: 147 mEq/L
  d. White blood cell count: 12,000/mm3



mjbamaung

  • Sr. Member
  • ****
  • Posts: 343
Answer to Question 1

ANS: B
The best response is for the nurse to offer self, a therapeutic communication technique that uses presence. Attempting to assign blame to both parents will not help the client feel better. There is genetic testing available, so it is inaccurate to state there is no way to know who will have the disease. Stating that good treatments exist belittles the client's feelings.

Answer to Question 2

ANS: A
An elevated creatinine indicates kidney damage, which occurs in SCD. A hematocrit level of 30 is an expected finding, as is a slightly elevated white blood cell count. A sodium level of 147 mEq/L, although slightly high, is not concerning.



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
 

Did you know?

Walt Disney helped combat malaria by making an animated film in 1943 called The Winged Scourge. This short film starred the seven dwarfs and taught children that mosquitos transmit malaria, which is a very bad disease. It advocated the killing of mosquitos to stop the disease.

Did you know?

Adolescents often feel clumsy during puberty because during this time of development, their hands and feet grow faster than their arms and legs do. The body is therefore out of proportion. One out of five adolescents actually experiences growing pains during this period.

Did you know?

The human body's pharmacokinetics are quite varied. Our hair holds onto drugs longer than our urine, blood, or saliva. For example, alcohol can be detected in the hair for up to 90 days after it was consumed. The same is true for marijuana, cocaine, ecstasy, heroin, methamphetamine, and nicotine.

Did you know?

Cocaine was isolated in 1860 and first used as a local anesthetic in 1884. Its first clinical use was by Sigmund Freud to wean a patient from morphine addiction. The fictional character Sherlock Holmes was supposed to be addicted to cocaine by injection.

Did you know?

Cytomegalovirus affects nearly the same amount of newborns every year as Down syndrome.

For a complete list of videos, visit our video library