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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

Answer and Explanation

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.

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Correct Answer is A

Explanation

Choice A reason:

Diminished pulses can be indicative of decreased cardiac output, as it suggests that there may be a reduction in the volume of blood being pumped by the heart.

Choice B reason:

Extremities warm to touch is not necessarily indicative of decreased cardiac output. It may be related to other factors, such as ambient temperature or local blood flow.

Choice C reason:

Capillary refill of 2 seconds is within the normal range for a preschooler, and it is not a strong indicator of decreased cardiac output.

Choice D reason:

A blood pressure of 112/66 mm Hg is within the normal range for a preschooler and is not a strong indicator of decreased cardiac output.

A. Speaks four words B. Builds a tower of three blocks C. Has temper tantrums D. Jumps in place with both feet

Correct Answer is A

Explanation

Choice A reason:

At 18 months, a toddler should typically be saying more than four words. This finding may

indicate a potential delay in speech development, and it should be reported to the provider for further evaluation.

Choice B reason:

Building a tower of three blocks is an appropriate developmental milestone for an 18-month-old and does not warrant reporting.

Choice C reason:

Temper tantrums are a normal behavior for toddlers, as they are still developing emotional regulation skills. This finding does not require reporting unless it is severe or causing harm to the child.

Choice D reason:

Jumping in place with both feet is an appropriate developmental milestone for an 18-month-old and does not warrant reporting.

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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?

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