A nurse is assessing a child who is in sickle cell crisis.
Which of the following findings should the nurse expect?

Pain.

Constipation.

High fever.

Bradycardia.

Answer and Explanation

The Correct Answer is A

Choice A rationale

Pain is a hallmark symptom of sickle cell crisis due to vaso-occlusion, which restricts blood flow and oxygen delivery to tissues. It results from ischemia in affected areas, triggering severe discomfort that requires prompt management with analgesics and interventions to improve circulation.

Choice B rationale

Constipation is not typically associated with sickle cell crisis. While dehydration might contribute to gastrointestinal changes, the primary symptoms revolve around pain and vaso-occlusive events impacting blood flow and oxygen delivery.

Choice C rationale

High fever can occur due to infections secondary to spleen dysfunction in sickle cell patients, but it is not a direct symptom of crisis itself. Fever requires evaluation to rule out underlying causes, as infections pose serious risks for these individuals.

Choice D rationale

Bradycardia is atypical in sickle cell crisis. Instead, tachycardia may occur due to compensatory mechanisms for ischemia and hypoxia. Bradycardia is unrelated to the vaso-occlusive events characteristic of sickle cell crises. .

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Correct Answer is D

Explanation

Choice A rationale

The presence of Rh factor in the mother's blood and absence in the newborn’s does not lead to antibody formation targeting fetal red blood cells directly. Rh incompatibility arises when the mother lacks the Rh factor and forms anti-Rh antibodies against the Rh-positive fetal blood. This leads to hemolysis and hyperbilirubinemia in affected newborns.

Choice B rationale

Anti-A and anti-B antibodies are associated with ABO incompatibility, not Rh incompatibility. ABO incompatibility can cause mild hemolysis but does not lead to severe hyperbilirubinemia seen in Rh incompatibility. Rh incompatibility specifically involves anti-Rh antibodies produced by Rh-negative mothers targeting Rh-positive fetal red cells.

Choice C rationale

Receiving a transfusion with Rh-negative blood would not trigger Rh incompatibility. Rh incompatibility is driven by maternal sensitization to Rh-positive fetal blood during pregnancy or delivery, leading to antibody formation and subsequent hemolysis in future Rh-positive pregnancies.

Choice D rationale

When the mother lacks the Rh factor (Rh-negative), she can produce anti-Rh antibodies upon exposure to Rh-positive fetal blood. These antibodies cross the placenta and attack fetal red blood cells, causing hemolysis and hyperbilirubinemia. This process is the hallmark of Rh incompatibility-related pathology.

A. A history of pelvic inflammatory disease (PID). B. An atypical Papanicolaou smear at her last clinic visit. C. Dysmenorrhea that is unresponsive to NSAIDs. D. Abdominal bloating starting several days before menses.

Correct Answer is C

Explanation

Choice A rationale

A history of pelvic inflammatory disease may result in complications like infertility or chronic pelvic pain but does not specifically indicate endometriosis. Endometriosis involves the ectopic implantation of endometrial tissue, unrelated to infection from PID.

Choice B rationale

An atypical Papanicolaou smear suggests cervical cell abnormalities due to infection, inflammation, or dysplasia, but it does not correlate with endometriosis, which is a distinct gynecological condition involving ectopic endometrial tissue growth.

Choice C rationale

Dysmenorrhea unresponsive to NSAIDs is a defining symptom of endometriosis. This pain results from the inflammatory response and cyclic bleeding of ectopic endometrial tissue, which can cause significant discomfort and impair quality of life.

Choice D rationale

Abdominal bloating several days before menses may be linked to hormonal fluctuations or gastrointestinal issues but is not a primary symptom of endometriosis. While some affected individuals experience bloating, it is not a diagnostic feature like severe, treatment-resistant pain. .

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A nurse is assessing a child who is in sickle cell crisis.Which of the following findings should the nurse expect?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is D

Explanation

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Correct Answer is C

Explanation

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A nurse is assessing a child who is in sickle cell crisis.
Which of the following findings should the nurse expect?