Author Question: The nurse is collecting data on a newly admitted client in sickle cell crisis. The client tells the ... (Read 136 times)

bcretired · **on:** Jul 22, 2018

The nurse is collecting data on a newly admitted client in sickle cell crisis. The client tells the nurse about a recent skiing trip and subsequent respiratory infection from the cold.

Which of the following nursing diagnoses does the nurse feel is appropriate for this client? 1. Fluid Volume Excess
2. Knowledge Deficit
3. Readiness for Enhanced Immunization Status
4. Risk for Self-Mutilation

Question 2

The part of the brain that maintains equilibrium and smooth muscle functioning is the

a. cerebrum c. brain stem
b. cerebellum d. pons

kjohnson · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

2. Knowledge Deficit

Rationale: The client has reportedly been skiing, which would be in an area of high altitude, which is contraindicated for someone with sickle cell. This client appears to have a knowledge deficit about self-care. There is no evidence from the information given that the client has fluid volume excess, a need for enhanced immunization status, or a risk for self-mutilation.

Answer to Question 2

B
The cerebrum is responsible for consciousness, sensory awareness, communication, and voluntary movement. The cerebellum processes information that results in balance, posture, equilibrium, and coordination of skeletal muscle movement. The brain stem serves as a conduction system between higher and lower neural centers and maintains respiratory and cardiac functioning. The pons play a role in arousal, breathing, and micturition.