Nursing Care and Pathophysiology for Sickle Cell Anemia

Question 1 of 10

Providing client education to the parents of a three-year-old with sickle cell anemia how to prevent an acute crisis includes which of the following in the teaching? Select all that apply.

Your child should avoid any physical exertion

It is very important that your child drinks a lot of fluids

Your child should get the flu vaccine every year

Reduce stressful situations

Exposure to extreme temperatures may trigger a crisis

Question 2 of 10

The nurse is caring for a client admitted for sickle cell crisis. What type of transfusion will the nurse expect to give if the client is anemic?

Packed red cells with D5W to maintain glucose level

Packed red blood cells to increase hemoglobin and iron

Exchange red blood cell transfusions to replace diseased cells

Whole blood transfusion to maintain hemodynamic stability

Question 3 of 10

A client reports to the nurse that she is having a sickle cell crisis. The nurse knows that the client will have which abnormal lab?

Platelets

Leukocytes

Neutrophils

Red blood cells

Question 4 of 10

A 14-year-old client has just been prescribed hydroxyurea to help treat sickle cell anemia. The client asks the nurse about the purpose of this new medication. Which of the following explanations by the nurse is correct?

Hydroxyurea is a pain medication that will help relieve your joint pain

Hydroxyurea helps your sickle cell by increasing fetal hemoglobin, which can’t sickle

Hydroxyurea is a new medication that works within the red blood cell to change its structure and make it less prone to sickling

Hydroxyurea is a medication that works by increasing the RBC ability to absorb fluid to prevent sickling

Question 5 of 10

The nurse is caring for a child who has sickle cell anemia. The child’s family asks the nurse about a cure for the disease. The nurse explains to the family that the cure for sickle cell anemia is which of the following?

Increased folate and iron in the diet

Repeated blood transfusions

Pneumococcal immunization

Bone marrow transplant

Question 6 of 10

A nurse working in the ER is assessing a 15-year-old client with a history of sickle cell anemia. The client is complaining of extreme pain in the left knee. The nurse knows which of the following interventions should be the top priority?

Placing an IV for fluid administration

Drawing blood for a complete blood count

Putting the client on 2L O2 via nasal cannula

Giving 300 mg of ibuprofen

Question 7 of 10

The nurse is caring for a client who requires treatment for sickle cell disease. Which of the following are treatments for this condition? Select all that apply.

Folic acid supplementation

Steroid splenectomy

Steroid administration

Vitamin B12

Antibiotics

Question 8 of 10

A physician has ordered a blood product transfusion for a client with a hemoglobin level of 6 mg/dL. What other conditions would most likely be indications of the need for blood products? Select all that apply.

Eosinophilia

Thrombocytopenia

Sickle cell anemia

Hyperglycemia

Polycythemia vera

Question 9 of 10

The nurse is caring for a seven-year-old child with sickle cell anemia, admitted for IV fluids and pain management. During the night shift the child wakes up at three a.m. complaining of chest pain and difficulty breathing. The nurse’s primary concern is which of the following?

The child is describing symptoms associated with acute chest syndrome

The child is describing symptoms associated with splenic sequestration

The nurse on the previous shift didn’t put the child on supplemental oxygen

The child’s pain doesn’t seem to be well controlled with the medications given one hour ago

Question 10 of 10

The nurse is admitting an adolescent client for sickle cell crisis. The nurse notes upon reviewing the chart that the client has been admitted several times in the last 6 months. While speaking to the client, which of the following statements by the nurse is appropriate?

You have had multiple admissions for sickle cell crisis. Your parents need to make sure you are drinking and eating enough

I am going to need your help to figure out why you have needed to return to the hospital so many times. Do you have any ideas?

I see that you are back. If there was a way to prevent sickle cell crisis from occurring, I would tell you, because I know that you can manage your condition

There have been multiple admissions for sickle cell crisis, so at this point we recommend that your parents become more involved in your care. You should not have to manage this

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