A 9-year-old with sickle cell anemia wants to participate in school activities but their parent is afraid. What school activity could the nurse suggest for the child with sickle cell anemia?

Ice Hockey

Tackle American Football

Art Club

Basketball

Answer and Explanation

The Correct Answer is C

A. Ice Hockey: Cold temperatures and physical exertion can trigger a sickle cell crisis by causing vasoconstriction and hypoxia.

B. Tackle American Football: High-impact, strenuous activities increase oxygen demand, putting the child at risk for a crisis.

C. Art Club: A non-strenuous activity that avoids physical strain, dehydration, or extreme temperatures, making it safe for children with sickle cell anemia.

D. Basketball: While it’s not as physically demanding as some sports, it still involves moderate to intense exertion, which could precipitate a crisis.

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Correct Answer is A

Explanation

A. Pain: A vaso-occlusive crisis in sickle cell disease occurs when sickled red blood cells block blood flow in small vessels, leading to severe pain, often in the bones, joints, and abdomen. Pain is the hallmark symptom of a vaso-occlusive crisis.

B. Bradycardia: Bradycardia is not typically associated with a vaso-occlusive crisis in sickle cell disease. The child may have an increased heart rate (tachycardia) due to pain, dehydration, or hypoxia.

C. Vomiting: Vomiting is not a direct result of a vaso-occlusive crisis but can occur due to complications such as dehydration or infection.

D. Constipation: Constipation is not a common symptom of a vaso-occlusive crisis. It may occur as a side effect of medications like opioids, which are often used to manage pain in sickle cell patients.

A. Pulmonary function test B. Sputum culture C. Sweat chloride test D. Stool fat content analysis

Correct Answer is C

Explanation

A. Pulmonary function test: While useful in assessing lung function, this test is not definitive for diagnosing cystic fibrosis.

B. Sputum culture: This can help identify respiratory infections, but it is not used for diagnosing cystic fibrosis.

C. Sweat chloride test: The sweat chloride test is the most definitive diagnostic test for cystic fibrosis. Elevated chloride levels in the sweat are indicative of the disease.

D. Stool fat content analysis: This test can be helpful in identifying malabsorption issues but is not definitive for cystic fibrosis diagnosis.

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A 9-year-old with sickle cell anemia wants to participate in school activities but their parent is afraid. What school activity could the nurse suggest for the child with sickle cell anemia?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a child who has sickle disease and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect?

Correct Answer is A

Explanation

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Correct Answer is C

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