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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A) This choice is incorrect because the Schilling test is not used to diagnose iron-deficiency anemia. It is primarily used to diagnose pernicious anemia, a type of megaloblastic anemia caused by vitamin B12 deficiency.
B) This choice is correct. The Schilling test is used to diagnose pernicious anemia by assessing the body's ability to absorb vitamin B12 from the digestive system.
C) This choice is incorrect because the Schilling test is not used to diagnose aplastic anemia. Aplastic anemia is diagnosed through other means, such as bone marrow biopsy and blood tests.
D) This choice is incorrect because the Schilling test is not used to diagnose hemolytic anemia. Hemolytic anemia is diagnosed through blood tests and other assessments to determine red blood cell destruction.
Questions
Correct Answer is B
Explanation
A) This choice is incorrect because iron deficiency is one of the causes of anemia, but in chronic kidney disease, impaired erythropoietin production is the primary reason.
B) This choice is correct. Anemia in chronic kidney disease is primarily caused by decreased production of erythropoietin, a hormone produced by the kidneys that stimulates red blood cell production in the bone marrow.
C) This choice is incorrect because hemolysis of red blood cells is not the main cause of anemia in chronic kidney disease.
D) This choice is incorrect because vitamin B12 deficiency is not typically associated with anemia in chronic kidney disease.
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