A pediatric client in sickle cell crisis comes to the hospital with his mother. When assessing the client, the nurse should expect to find which of the following manifestations?
Constipation
Bradycardia
Pain
Fever
The Correct Answer is C
A. Constipation is not typically associated with sickle cell crisis. While it can occur due to medications or dehydration, it is not a primary symptom of a crisis.
B. Bradycardia is not a typical manifestation of sickle cell crisis. The patient might experience tachycardia due to pain or dehydration.
C. Pain is the hallmark symptom of a sickle cell crisis. The sickle-shaped red blood cells obstruct blood flow, leading to ischemia and severe pain, often in the joints or abdomen.
D. Fever can occur if there is an infection, but pain is the most characteristic finding in a sickle cell crisis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Accidents, particularly motor vehicle accidents, are the leading cause of death among adolescents. This is due to factors such as risky behavior, inexperience, and a higher likelihood of being involved in car accidents.
B. Suicide is a significant cause of death in adolescents but does not surpass accidents in frequency.
C. Homicide is another concern but is less common than accidental deaths.
D. Cancer is a leading cause of death in children, but not in adolescents, where accidents are more prevalent.
Correct Answer is C
Explanation
A. Spasmodic croup is usually a mild condition that can often be managed at home.
B. Laryngotracheobronchitis (LTB), while concerning, is not always an immediate emergency compared to epiglottitis. It typically requires supportive care but is not as immediately life-threatening.
C. Epiglottitis is a life-threatening condition where the epiglottis becomes inflamed and obstructs the airway. It requires immediate medical attention to prevent respiratory distress or failure.
D. Laryngitis involves inflammation of the vocal cords and does not pose an acute threat to the airway.
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