A nurse is caring for a client who has sickle cell disease.
For each client finding, click to specify if the finding is consistent with sickle cell disease, iron deficiency anemia, or leukemia. Each finding may support more than 1 disease process.
Heart rate at 1000
Joint pain
Respiratory status
Jaundice
Ankle ulcer
The Correct Answer is {"A":{"answers":"A,B,C"},"B":{"answers":"A"},"C":{"answers":"A,B,C"},"D":{"answers":"A"},"E":{"answers":"A"}}
- Heart rate at 1000: Tachycardia (112/min) can result from anemia, which occurs in sickle cell disease, iron deficiency anemia, and leukemia due to reduced oxygen-carrying capacity.
- Joint pain: Common in sickle cell disease due to vaso-occlusive crises; not typically associated with iron deficiency anemia or leukemia.
- Respiratory status: Labored breathing and oxygen desaturation can result from sickle cell disease (due to anemia and potential acute chest syndrome), iron deficiency anemia (due to reduced oxygen delivery), and leukemia (if anemia or infection is present).
- Jaundice: Caused by hemolysis in sickle cell disease; not typical in iron deficiency anemia or leukemia.
- Ankle ulcer: Chronic leg ulcers are a complication of sickle cell disease; uncommon in iron deficiency anemia or leukemia.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Constipation is a common side effect of ferrous sulfate, but taking it between meals does not prevent constipation.
B. Ferrous sulfate is not associated with esophagitis when taken with food. This statement is incorrect.
C. Iron is best absorbed on an empty stomach because food, especially dairy products, tea, or coffee, can inhibit iron absorption. Taking it between meals maximizes bioavailability.
D. Taking ferrous sulfate with food usually decreases gastrointestinal upset, including nausea, so this statement is incorrect.
Correct Answer is B
Explanation
A. ITP is an autoimmune disorder in which the body destroys platelets, leading to increased bleeding, but it is not related to clotting factor deficiencies.
B. Christmas disease is another name for hemophilia B, which is caused by a deficiency of clotting factor IX. It results in prolonged bleeding, easy bruising, and hemarthroses (bleeding into joints).
C. Thalassemia is a genetic disorder of hemoglobin synthesis, leading to anemia. It does not involve clotting factors.
D. Hemophilia A is due to a deficiency of factor VIII, not factor IX. Both A and B result in bleeding tendencies, but the specific factor deficiency distinguishes them.
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