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 iron dextran subcutaneously into the vastus lateralis is not the recommended route for this medication. It is typically administered intramuscularly.
Choice B reason:
Correct. The preferred method for administering iron dextran is intramuscularly using the Z-track method. This technique helps prevent leakage of the medication into the subcutaneous tissue.
Choice C reason:
Administering iron dextran subcutaneously into the deltoid is not the preferred route for this medication. It is typically administered intramuscularly.
Choice D reason:
While a 20-gauge needle may be appropriate for intramuscular injections, the Z-track method is the preferred technique for administering iron dextran intramuscularly. The gauge of the needle may vary depending on the specific circumstances and patient characteristics.
Correct Answer is D
Explanation
Choice A reason:
Hypersomnia (excessive sleepiness) is not a typical finding in Cushing's syndrome. Instead, children with Cushing's syndrome may experience insomnia or disrupted sleep patterns.
Choice B reason:
Hypotension (low blood pressure) is not a characteristic finding in Cushing's syndrome. Elevated blood pressure is more commonly associated with this condition.
Choice C reason:
Rapid weight loss is not a typical finding in Cushing's syndrome. Instead, children with Cushing's syndrome may experience weight gain, particularly in the face (moon face), abdomen, and upper back.
Choice D reason:
Correct. Rounded facial features, often referred to as "moon face," are a characteristic finding in children with Cushing's syndrome. This is due to the redistribution of fat in the body, particularly in the face and trunk.
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