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A nurse is assessing a 19-year-old patient who was brought to the ED in sickle cell crisis. Which of the following findings should the nurse expect?

High fever

Constipation

Bradycardia

Pain

Answer and Explanation

The Correct Answer is D

A. High fever. – Incorrect. Fever can occur with infection but is not a hallmark sign of sickle cell crisis.

B. Constipation. – Incorrect. Constipation is not a defining symptom of sickle cell crisis.

C. Bradycardia. – Incorrect. Tachycardia, not bradycardia, is common due to pain and hypoxia.

D. Pain. – Correct Answer. Severe pain is the most common symptom of sickle cell crisis due to vaso-occlusion and ischemia.

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Correct Answer is A

Explanation

A. Check the patient’s blood temperature. – Correct Answer. A headache and stiff neck are classic signs of meningitis. Fever is another key symptom, so checking temperature helps confirm suspicion and guides urgent intervention.

B. Administer an oral analgesic. – Incorrect. Pain management is secondary. The priority is assessing for infection (meningitis).

C. Perform a complete blood count. – Incorrect. While a CBC may show elevated WBCs, immediate assessment is more urgent.

D. Evaluate the patient’s neurological status. – Incorrect. While neurological assessment is important, confirming fever as an infection indicator is the first step.

A. Regular and Humulin N B. Regular and Novolin N C. Lantus and Humulin N D. Humulin R and Novolin N

Correct Answer is C

Explanation

A. Incorrect. Regular insulin (short-acting) and Humulin N (intermediate-acting) can be mixed.

B. Incorrect. Regular insulin and Novolin N are compatible.

C. Correct. Lantus (glargine) is a long-acting insulin that should never be mixed with other insulins.

D. Incorrect. Humulin R (short-acting) and Novolin N (intermediate-acting) can be mixed.

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A nurse is assessing a 19-year-old patient who was brought to the ED in sickle cell crisis. Which of the following findings should the nurse expect?

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