Practice Question
A client is being treated on the medical unit for a sickle cell crisis. The nurse's most recent assessment reveals an oral temperature of 100.50F and a new onset of fine crackles on lung auscultation. What is the nurse's most appropriate action?
Answer Choices:
Correct Answer:
Inform the primary care provider that the patient may have an infection.
Rationale:
✨ In clients with sickle cell crisis, a new fever and lung crackles raise concern for acute chest syndrome, a severe and potentially fatal complication.
✨ Prompt notification of the primary provider is critical to initiate antibiotics, imaging, and possibly transfusions.
✨ Early intervention can prevent respiratory failure or sepsis.
✨ Oxygen and respiratory therapy may follow, but recognition and medical response are the first steps.
Want to practice more questions like this?
This question is from RN ATI Medsurg Exam 8 which contains 45 questions.
More Questions from This Exam
A client with a history of Addison's disease and flu-like symptoms accompanied by nausea and vomiting over the past week is brought to the facility. His wife reports that he acted confused and was extremely weak when he awoke that morning. The client's blood pressure is 90/58 mm Hg, his pulse is 116 beats/minute, and his temperature is 101°F (38.3°C). A diagnosis of acute adrenal insufficiency is made. What should the nurse expect to administer by I.V. infusion?
Answer Choices:
A. Methylprednisolone (Solu-medrol)
B. Hypotonic saline
C. Potassium (K-dur)
D. Regular Insulin
The nurse is caring for a patient with Addison's disease who is scheduled for discharge. When teaching the patient about hormone replacement therapy, the nurse should address what topic?
Answer Choices:
A. The need to match the daily steroid dose to immediate symptoms
B. The importance of monitoring liver function
C. The need for life-long steroid replacement
D. The possibility of extreme weight loss from use of corticosteroids
A patient with a longstanding diagnosis of generalized anxiety disorder presents to the emergency room. The triage nurse notes upon an assessment that the patient is hyperventilating. The triage nurse is aware that hyperventilation is the MOST common cause of which acid-base imbalance?
Answer Choices:
A. Respiratory Acidosis
B. Metabolic Alkalosis
C. Metabolic Acidosis
D. Respiratory Alkalosis
A client with chronic kidney disease has chronic anemia. What pharmacologic alternative to blood transfusion may be used for this patient?
Answer Choices:
A. Erythropoietin (Epogen)
B. Eltrombopag (Promacta)
C. GM-CSF (Leukine)
D. Thrombopoietin (TPO)
A client with Cushing's syndrome is receiving education about dietary changes from the nurse. Which statement by the patient demonstrates the need for further teaching?
Answer Choices:
A. "l can eat a salad with oil and vinegar dressing•
B. "I can cook soup using canned vegetables"
C. "l can eat dried fruit for breakfast with my oatmeal."
D. "l can eat baked chicken with green beans for dinner
Question Details
- Category: RN Nursing Exam(s)
- Subcategory: ATI Exam(s)
- Domain: RN ATI MedSurg
- Answer Choices: 4
Was this question helpful?
0/5 average rating
(0 votes)