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concept in nursing 2
Sickle cell disease and thalassemia
| Question | Answer |
|---|---|
| A nurse is caring for a patient with sickle cell disease. The nurse realizes the patient’s hypoxemia and dehydration are primarily caused by which characteristic of sickle cell disease? | Vessel occlusion |
| The nurse is receiving a report on a patient with sickle cell disease being admitted from the emergency department. Which question by the nurse exhibits an awareness of the primary symptom of the disease? | “When did the patient last receive pain medications?” |
| The nurse is caring for an older adult patient who has been admitted with abdominal distension and has a history of sickle cell anemia. Which findings would the nurse expect to see on an abdominal x-ray report? | Small to nonexistent spleen |
| A patient with sickle cell disease is admitted to the hospital for the second time in 4 months, has an oral temperature of 100.9° F, and is experiencing severe pain. Hydroxyurea is being added to the patient’s medication regimen. | -- |
| Which patient outcome shows this medication is effective? | The patient experiences a reduced number of sickle cell crises. |
| Which nursing intervention has the highest priority for the nurse caring for a patient experiencing a sickle cell crisis? | Administer intravenous fluids. |
| The nurse is explaining why deferasirox for thalassemia is being added to a patient’s oral medication regimen. Which patient statement demonstrates the patient’s need for further education? | “Deferasirox will prevent me from having frequent crises.” |
Created by:
Lightnning54
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