A nurse recognizes that the most likely initial clinical finding in infants with sickle cell disease is:
Jaundice of the skin and eyes
Fever without a source
Swelling of the hands and feet
Failure to thrive
The Correct Answer is C
A. Jaundice can occur due to hemolysis but is not usually the earliest or most specific initial finding.
B. Fever may occur with infection, but it is not typically the first sign of sickle cell disease in infants.
C. Swelling of the hands and feet (dactylitis) is often the earliest clinical manifestation in infants, caused by vaso-occlusion from sickled cells.
D. Failure to thrive may develop later due to chronic illness but is not usually the initial finding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","E"]
Explanation
A. While a possible long-term adverse effect, it does not typically affect psychosocial development in a 6-year-old.
B. Corticosteroid-induced weight gain can alter body image, leading to self-consciousness and social difficulties at this developmental stage.
C. A medical concern but not directly linked to psychosocial development in children.
D. Primarily a physical discomfort; it does not significantly impact psychosocial development.
E. Mood changes such as irritability can interfere with social interactions and emotional regulation, affecting psychosocial development.
Correct Answer is C
Explanation
A. Processed foods are generally low in iron and calcium and do not help reduce lead absorption.
B. Dairy products are a good source of calcium and should not be limited unless directed for another medical reason.
C. Fruits and vegetables (especially leafy greens and iron-rich produce) provide important sources of iron and calcium, which compete with lead for absorption and help lower lead toxicity.
D. Soda does not contain calcium and may worsen nutritional status, interfering with healthy intake.
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