A nurse is caring for an infant whose screening test reveals a potential diagnosis of sickle cell disease. Which of the following tests should the nurse expect the provider to prescribe to distinguish whether the infant has sickle cell disease or sickle cell trait?
Transcranial doppler
Sickle solubility test
Complete blood count
Hemoglobin electrophoresis
The Correct Answer is D
A. Transcranial doppler: This test is used to assess blood flow in the brain and is often used for children with sickle cell disease to evaluate the risk of stroke. It is not used to distinguish between sickle cell disease and trait.
B. Sickle solubility test: This test is used to identify sickling in red blood cells, which can indicate sickle cell disease, but it does not differentiate between sickle cell disease and sickle cell trait.
C. Complete blood count (CBC): While a CBC can provide information about anemia and red blood cell characteristics, it cannot differentiate between sickle cell disease and sickle cell trait.
D. Hemoglobin electrophoresis: This test is the gold standard for diagnosing sickle cell disease and trait. It separates different types of hemoglobin based on their electrical charge, allowing for the identification of hemoglobin S (sickle hemoglobin), which distinguishes between sickle cell disease (homozygous) and sickle cell trait (heterozygous).
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Medium formed stool with an orange tint: Not typical in cystic fibrosis.
B. Liquid stool: While diarrhea can occur, it is not the hallmark of cystic fibrosis-related malabsorption.
C. Small, round pellet-shaped stool: More indicative of constipation, not cystic fibrosis.
D. Large, bulky, frothy, greasy, and foul-smelling stool (steatorrhea): Characteristic of malabsorption caused by pancreatic enzyme insufficiency in cystic fibrosis.
Correct Answer is C
Explanation
A. "Are you aware that your son will have to be in isolation?": Acute rheumatic fever does not typically require isolation, so this is not the most relevant question.
B. "Has your child had any injuries recently?": This question is not specifically related to acute rheumatic fever, which is caused by a preceding streptococcal throat infection, not injuries.
C. "Has your son had a sore throat recently?": This is the most appropriate question, as acute rheumatic fever is a complication that can follow a streptococcal throat infection, so identifying a history of recent sore throat is key.
D. "Was your son born with this cardiac defect?": Rheumatic fever is an acquired condition, not a congenital defect.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.
