ATI Rn Comprehensive Predictor Sickle Cell Disease

ATI Rn Comprehensive Predictor Sickle Cell Disease 1. Which factor should the nurse suspect precipitated a sickle cell crisis in a patient? - Going snow skiing on Vacation 2. The nurse is analyzing and synthesizing assessment data related to the care of the patient with sickle cell disease (SCD). 3. Which nursing diagnosis represents the highest priority when planning nursing care for the patient with SCD? (NANDA-I © 2014) - Gas Exchange, Impaired 4. The patient with sickle cell disease (SCD) is ordered to receive hydroxyurea. To correctly explain the rationale for administering hydroxyurea to the patient, which statement should the nurse include in the teaching? - Hydroxyurea decreases the production of abnormal blood cells 5. A patient and her husband both carry the genetic trait for sickle cell disease (SCD). The patient asks the nurse, "What is the risk that we will have a child with sickle cell disease?" Which response by the nurse is accurate? - "There is a 25% chance that any of your children will have SCD." 6. The nurse is caring for a patient who presents in sickle cell crisis. Which clinical manifestation should lead the nurse to conclude the patient is developing splenic sequestration? - Persistent hypovolemia 7. The patient with sickle cell disease (SCD) asks the nurse to explain vasoocclusive crisis. 8. Which information is appropriate for the nurse to include in the explanation? - Dehydration increases the risk for developing vaso-occlusive crisis. 9. Which intervention should the nurse include when teaching the parents of a toddler with sickle cell disease (SCD) regarding ways to prevent dehydration? - Use popsicles and flavored drinks to increase oral intake. 10. The nurse has developed a plan of care for a patient with sickle cell disease (SCD) who weighs 200 pounds. Included is the goal for the patient to urinate 0.5 mL/kg/h. 11. Which 24-hour urinary output indicates this goal has been met? - 1500 mL 12. The patient with sickle cell disease (SCD) is preparing to be discharged to home. Which topic is appropriate for the nurse to include when providing home care teaching? - Recognizing signs of splenic sequestration