TEST BANK FOR MEDICAL-SURGICAL NURSING:
CONCEPTS FOR CLINICAL JUDGMENT AND
COLLABORATIVE CARE 11TH EDITION BY
DONNA D. IGNATAVICIUS QUESTIONS AND
ANSWERS ALREADY GRADED A+ 100%
A nurse caring for a client with sickle cell disease (SCD) reviews the client's laboratory test results. Which
finding would the nurse report to the primary health care provider?
A. Creatinine: 2.9 mg/dL
B. Hematocrit: 30%
C. Sodium: 146 mEq/L
D. White blood cell count: 12,000 mm^3 - ANSWERS-A. An elevated creatinine indicates kidney damage,
which occurs in SCD. The rest are expected findings in SCD.
The nurse is assessing a client in sickle cell disease crisis. What PRIORITY client problem will the nurse
expect?
A. Infection
B. Pallor
C. Pain
D. Fatigue - ANSWERS-C. The priority expected client problem for clients experiencing SCD crisis is pain,
often concentrated in the legs, arms, and joints.
A client in sickle cell crisis is dehydrated and in the emergency department. The nurse plans to start an
IV. Which fluid choice is best?
a. 0.45% normal saline
b. 0.9% normal saline
c. Dextrose 50% (D50)
d. Lactated Ringer's solution - ANSWERS-A. Because clients in sickle cell crisis are often dehydrated, the
fluid of choice is a hypotonic solution such as 0.45% normal saline.
A client presents to the emergency department in sickle cell crisis. What intervention by the nurse takes
PRIORITY?
A. Administer oxygen
B. Initiate pulse oximetry
C. Give pain medication
D. Start an IV line - ANSWERS-A. All actions are a
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