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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. Proper hand hygiene disrupts the transmission of pathogens and is the primary infection control strategy.

B. A high-protein diet helps with recovery but does not directly prevent transmission.

C. While hygiene is important, daily linen changes are not the primary preventive measure.

D. Restricting visitors is only necessary for highly contagious infections.

A. Loosen the patient's restrictive clothing. B. Open the patient's jaws to insert an oral airway. C. Restrain the patient to prevent injury. D. Place patient in high-Fowler's position.

Correct Answer is A

Explanation

A. Loosen the patient's restrictive clothing – This helps prevent airway obstruction and allows for better chest expansion during the seizure.

B. Open the patient’s jaws to insert an oral airway – Never attempt to force open the mouth during a seizure, as it can cause injury.

C. Restrain the patient to prevent injury – Restraining can cause further harm and should be avoided. Instead, clear the area around the patient to prevent injury.

D. Place patient in high-Fowler’s position – The patient should be placed in a side-lying position to prevent aspiration, not high-Fowler’s.

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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?

Nursing Test Bank

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