Sickle Cell Disease
Sickle Cell Disease ( 15 Questions)
The patient asks, "What activities should I avoid to prevent these painful episodes?" What education is the nurse likely to provide?
"It's crucial to stay away from extreme temperatures and physical exertion to prevent vaso-occlusive crises.”. Extreme temperatures (both hot and cold) can trigger vaso-occlusive crises in patients with sickle cell disease. Cold temperatures can cause blood vessels to constrict, leading to reduced blood flow and increased risk of blockages, while hot temperatures can lead to dehydration, which can also contribute to vaso-occlusive events. Physical exertion can increase the risk of sickling, as the cells are more likely to become misshapen and block blood vessels during periods of increased activity.
"You should engage in regular physical activities to keep your body in good shape.”. While physical activity is generally encouraged for overall health, patients with sickle cell disease need to be cautious about the type and intensity of exercise they engage in. Strenuous or high-impact activities can increase the risk of vaso-occlusive crises. The nurse is likely to advise the patient to engage in regular, moderate physical activity that does not overexert the body.
"Avoiding certain foods can significantly reduce the frequency of painful episodes.”. While a healthy diet is important for individuals with sickle cell disease, avoiding specific foods is not the primary strategy for preventing vaso-occlusive crises. The patient's question is more focused on activities and lifestyle factors that can trigger these painful episodes. Diet plays a role in overall health and can indirectly affect the frequency of crises, but it is not the primary concern in this context.
"Taking hot showers or baths can help prevent vaso-occlusive crises.”. Taking hot showers or baths is not a recommended strategy for preventing vaso-occlusive crises. In fact, exposure to hot water can lead to dehydration, which is a risk factor for sickle cell crises. The nurse is likely to advise the patient to use warm, not hot, water for bathing and to stay well-hydrated but not to rely on hot showers or baths as a preventive measure for vaso-occlusive events.
"It's crucial to stay away from extreme temperatures and physical exertion to prevent vaso-occlusive crises.”.
Choice A rationale:
"It's crucial to stay away from extreme temperatures and physical exertion to prevent vaso-occlusive crises.”.
Extreme temperatures (both hot and cold) can trigger vaso-occlusive crises in patients with sickle cell disease.
Cold temperatures can cause blood vessels to constrict, leading to reduced blood flow and increased risk of blockages, while hot temperatures can lead to dehydration, which can also contribute to vaso-occlusive events.
Physical exertion can increase the risk of sickling, as the cells are more likely to become misshapen and block blood vessels during periods of increased activity.
Choice B rationale:
"You should engage in regular physical activities to keep your body in good shape.”.
While physical activity is generally encouraged for overall health, patients with sickle cell disease need to be cautious about the type and intensity of exercise they engage in.
Strenuous or high-impact activities can increase the risk of vaso-occlusive crises.
The nurse is likely to advise the patient to engage in regular, moderate physical activity that does not overexert the body.
Choice C rationale:
"Avoiding certain foods can significantly reduce the frequency of painful episodes.”.
While a healthy diet is important for individuals with sickle cell disease, avoiding specific foods is not the primary strategy for preventing vaso-occlusive crises.
The patient's question is more focused on activities and lifestyle factors that can trigger these painful episodes.
Diet plays a role in overall health and can indirectly affect the frequency of crises, but it is not the primary concern in this context.
Choice D rationale:
"Taking hot showers or baths can help prevent vaso-occlusive crises.”.
Taking hot showers or baths is not a recommended strategy for preventing vaso-occlusive crises.
In fact, exposure to hot water can lead to dehydration, which is a risk factor for sickle cell crises.
The nurse is likely to advise the patient to use warm, not hot, water for bathing and to stay well-hydrated but not to rely on hot showers or baths as a preventive measure for vaso-occlusive events.