Ati Rn Comprehensive Predictor Exam 3 2023 Graded A+

ATI RN COMPREHENSIVE PREDICTOR EXAM 3 2023 The client diagnosed with sickle cell disease is experiencing a vaso-occlusive crisis. Which PRIORITY interventions should the nurse implement? A. Maintain IV fluids and administer pain medication prn. B. Encourage frequent ambulation in the hallways. C. Administer oxygen via nasal cannula at 10 L per minute. D. Monitor the client's RBC count q 4 hrs. - Answer - Answer: A Maintain IV fluids and administer pain medication prn. Rationale: The nurse's priority is to treat the cause of the crisis and the pain. The client's nephew has just been diagnosed with sickle cell anemia (SCA). The client asks the nurse, "How did my nephew get this disease?" Which statement would be the BEST response by the nurse. A. "Sickle cell anemia is an inherited autosomal recessive disease." B. "He was born with it and both his parents were carriers of the disease." C. "At this time, the cause of sickle cell anemia is unknown." D. "Your sister was exposed to a virus while she was pregnant." - Answer - Answer: B "He was born with it and both his parents were carriers of the disease." Rationale: This explains the etiology in terms that a layperson could understand. When both parents are carriers of the disease, each pregnancy has a 25% chance of producing a child who has sickle cell anemia. The nurse is admitting a 24 year old African American female client with a diagnosis of rule-out anemia The client has a history of gastric bypass surgery for obesity four years ago. Current assessment findings include height 5'5''; weight 75 kg(165 lbs); Pulse 110 bpm; R 27; and BP 104/66; pale mucous membranes and dyspnea on exertion. Which type of anemia would the nurse suspect the client has developed? A. Vitamin B 12 deficiency B. Folic Acid deficiency C. Iron deficiency