A 30-year-old who is experiencing sickle cell crisis is admitted to the hospital. During the admission assessment, which findings can the nurse attribute to the client's blood disorder?
The client's tongue is white.
The client is nauseated.
The client is jaundiced.
The client is short of breath.
The client reports feeling pain.
Correct Answer : C,E
A. The client's tongue being white is not typically associated with sickle cell crisis but may indicate other issues such as oral thrush.
B. Nausea can be a symptom associated with many conditions and is not specific to sickle cell crisis.
C. Jaundice is a common manifestation of sickle cell crisis due to hemolysis of red blood cells, leading to an increase in bilirubin levels.
D. Shortness of breath may occur in sickle cell crisis if there is severe anemia or if the crisis is complicated by acute chest syndrome, but it is not a defining characteristic.
E. Pain is a hallmark symptom of sickle cell crisis, occurring due to vaso-occlusion and tissue ischemia resulting from the sickling of red blood cells.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "You will need to empty your bladder just before the exam.": Emptying the bladder before a pelvic examination allows for better visualization and manipulation of the pelvic organs.
B. "You should douche the evening prior to the examination.": Douching is not recommended before a Pap test as it can disrupt the natural flora of the vagina and may interfere with test results.
C. "You will be required to sign an informed consent prior to the exam.": Informed consent may be required for certain procedures but is not typically needed for a Pap test.
D. "You will be given light sedation before the examination starts.": Sedation is not typically used for a Pap test, which is a simple procedure that does not usually cause significant discomfort.
Correct Answer is B
Explanation
A. Cyclosporine. While cyclosporine is used to treat aplastic anemia, particularly in cases of immune-mediated aplastic anemia, it is not considered a potential cure.
B. Stem cell transplantation. Stem cell transplantation is both a standard treatment and a potential cure for aplastic anemia, especially for younger patients with a suitable donor.
C. Plasmapheresis. Plasmapheresis is not a standard treatment for aplastic anemia.
D. Transfusions. Blood transfusions are a supportive treatment for aplastic anemia but not a cure.
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