The nurse is providing education to an individual with sickle cell anemia. Which activities should the nurse instruct the patient to avoid? (Select all that apply.)
a. Scuba diving
b. Contact sports
c. Sexual activity
d. Long-distance driving
e. Skiing in the mountains
f. Standing for long periods
ANS: A, E
Factors that contribute to the development of a sickle cell crisis include those related to decreased oxygenation. At high altitudes or in scuba diving, there is less oxygen available, making skiing in the mountains or scuba diving unsafe for someone with sickle cell anemia. B. C. D. F. Sexual activity, driving, standing, and contact sports should not alter oxygenation.
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