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. Rheumatic fever can develop after a group A streptococcal throat infection (strep throat), typically 2 to 4 weeks after exposure. The sibling with a recent sore throat is likely the source of the infection.
B. Fifth disease is caused by parvovirus B19 and is not linked to the development of rheumatic fever.
C. Gastritis is unrelated to rheumatic fever, which stems from a streptococcal throat infection.
D. Chickenpox is caused by varicella zoster virus and does not lead to rheumatic fever.
Correct Answer is A
Explanation
A. Bananas are a safe food choice for a 2-year-old, as they are soft and easy to chew, reducing the risk of choking.
B. Grapes should be cut into smaller pieces to prevent choking, as they are a common choking hazard for young children.
C. Celery can be difficult for a toddler to chew and may pose a choking risk, especially if not cut properly.
D. Raw carrots are hard and may pose a choking risk, especially if not cut into small, manageable pieces.
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