A nurse is collecting data from a child who has sickle cell anemia and is experiencing a vaso- occlusive crisis. Which of the following findings should the nurse expect?
Tinnitus
Pruritus
Polyuria
Abdominal pain
The Correct Answer is D
Choice A reason:
Tinnitus (ringing in the ears) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.
Choice B reason:
Pruritus (itching) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.
Choice C reason:
Polyuria (excessive urination) is not a typical symptom of a vaso-occlusive crisis in sickle cell anemia.
Choice D reason:
Abdominal pain is a common symptom of a vaso-occlusive crisis in sickle cell anemia. This pain is due to the obstruction of blood flow in the small vessels of the abdomen, leading to tissue
ischemia and pain.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A reason:
Administering naloxone is not indicated for a seizure. Naloxone is used to reverse opioid overdose, not treat seizures.
Choice B reason:
Checking inside the child's mouth for bleeding is important after a seizure to ensure there is no injury to the oral cavity.
Choice C reason:
Giving the child a drink of water immediately after a seizure is not a priority intervention. The child may not be able to swallow properly immediately after a seizure.
Choice D reason:
Placing the child's head in a hyperextended position is not a recommended intervention after a seizure. It is important to maintain the child in a safe position and provide appropriate care after the seizure has ended.
Correct Answer is ["C","D","E"]
Explanation
Choice A reason:
Tinnitus - Tinnitus (ringing in the ears) is not typically associated with bacterial meningitis. The focus is on central nervous system symptoms and signs of meningeal irritation.
Choice B reason:
Negative Kernig sign - This is a classic sign of meningeal irritation. In bacterial meningitis, the Kernig sign will be positive, indicating resistance and pain upon extension of the knee after flexing the hip.
Choice C reason:
Vomiting - Nausea and vomiting are common symptoms of bacterial meningitis. They are caused by increased intracranial pressure and meningeal irritation.
Choice D reason:
Headache - Headache is a common symptom of bacterial meningitis, often severe and accompanied by other signs of meningeal irritation.
Choice E reason:
Seizures - Seizures can occur in bacterial meningitis due to the inflammation and irritation of the brain.
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