A nurse is caring for a client with sickle cell anemia during a vaso-occlusive crisis. Which of the following clinical manifestations is most likely to be observed during this crisis?

Increased blood pressure

Pale skin and mucous membranes

Severe joint pain

High energy levels

Answer and Explanation

The Correct Answer is C

A) This choice is incorrect because increased blood pressure is not typically observed during a vaso-occlusive crisis in sickle cell anemia.

B) This choice is incorrect because pale skin and mucous membranes are more likely to be seen in clients with anemia due to decreased red blood cell count, but it is not specific to a vaso-occlusive crisis.

C) This choice is correct. A vaso-occlusive crisis in sickle cell anemia is characterized by the blockage of small blood vessels, leading to severe pain, particularly in the joints and bones.

D) This choice is incorrect because clients experiencing a vaso-occlusive crisis are more likely to feel fatigued and weak due to the lack of oxygen delivery, rather than having high energy levels.

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Correct Answer is D

Explanation

A) This choice is incorrect because taking ferrous sulfate with water is generally acceptable and does not significantly affect iron absorption.

B) This choice is incorrect because taking ferrous sulfate with orange juice, which is rich in vitamin C, can enhance iron absorption and is often recommended.

C) This choice is incorrect because taking ferrous sulfate with milk can reduce iron absorption, but it is not as significant as with tea or coffee.

D) This choice is correct. Tea, especially black tea, contains tannins that can inhibit iron absorption when taken with ferrous sulfate or other iron supplements.

A. Elevated blood pressure B. Increased heart rate C. Excessive thirst D. Increased appetite

Correct Answer is B

Explanation

A) This choice is incorrect because anemia is not directly associated with elevated blood pressure. In fact, low blood pressure may be observed in some individuals with anemia due to decreased blood volume.

B) This choice is correct. Anemia leads to decreased oxygen-carrying capacity in the blood, and the body compensates by increasing the heart rate to supply more oxygen to vital organs and tissues.

C) This choice is incorrect because excessive thirst is not a typical symptom of anemia.

D) This choice is incorrect because anemia is more likely to cause a decreased appetite rather than an increased appetite.

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A nurse is caring for a client with sickle cell anemia during a vaso-occlusive crisis. Which of the following clinical manifestations is most likely to be observed during this crisis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A client with anemia is prescribed ferrous sulfate, an oral iron supplement. The nurse instructs the client to take the medication on an empty stomach. Which beverage should the nurse recommend the client to avoid while taking the supplement?

Correct Answer is D

Explanation

A client with anemia complains of fatigue and weakness. Which additional assessment finding is commonly associated with this condition?

Correct Answer is B

Explanation

A client presents with fatigue, weakness, and a red, sore tongue. A nurse suspects the client may have a specific type of anemia. Which type is most likely based on these findings?

A client reports experiencing a tingling sensation in the hands and feet, along with difficulty maintaining balance. A nurse should recognize these as possible symptoms of which type of anemia?

A nurse is educating a client with anemia about dietary modifications to enhance iron absorption. Which of the following food combinations should the nurse recommend to the client to optimize iron uptake?

A client with anemia is prescribed ferrous sulfate supplements. A nurse should instruct the client to take the supplement:

A nurse is caring for a client with sickle cell anemia during a vaso-occlusive crisis. Which of the following clinical manifestations is most likely to be observed during this crisis?

A client is diagnosed with anemia, and laboratory results show macrocytic and normochromic red blood cells. A nurse suspects a specific type of anemia based on these findings. Which type is most likely to be associated with this result?

A nurse is caring for a client with anemia. Which diagnostic test should the nurse anticipate to determine the cause of the anemia and assess the size and shape of the red blood cells?

A client with anemia is undergoing a Schilling test to determine the cause of the condition. The nurse should recognize that this test is used to diagnose which type of anemia?