The nurse is caring for a client with sickle cell disease who tells the nurse that she is considering taking large doses of vitamin C because she has read about its ability to enhance wound healing. What is the best response from the nurse?
a. "That should be a very effective way to self-manage your disease process."
b. "That is contraindicated because of the type of pain medication that you require."
c. "That should encourage wound healing as well as enhance pain management."
d. "That is contraindicated because it can lead to sickle cell crisis."
ANS: D
Vitamin C can precipitate sickle cell crisis in a client with sickle cell disease.
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