During a sickle cell crisis, which of the following symptoms is most commonly experienced by individuals with sickle cell disease?
Severe pain in the abdomen and joints
Fever and chills
Cough and shortness of breath
Numbness and tingling in the extremities
The Correct Answer is A
A. Severe pain in the abdomen and joints. Severe pain is the hallmark symptom of a sickle cell crisis, often occurring in the abdomen, joints, and bones due to vaso-occlusive events.
B. Fever and chills. While fever can be a sign of infection in individuals with sickle cell disease, it is not the most common symptom during a sickle cell crisis.
C. Cough and shortness of breath. These symptoms are more indicative of respiratory infections or complications like acute chest syndrome but are not the primary symptoms of a sickle cell crisis.
D. Numbness and tingling in the extremities. These symptoms are not typically associated with a sickle cell crisis.
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Related Questions
Correct Answer is B
Explanation
A. Phalitis: This term is not commonly used and does not specifically refer to swelling in the hands and feet.
B. Dactylitis: Dactylitis is a common manifestation of sickle cell disease in infants, characterized by painful swelling of the hands and feet due to vaso-occlusive episodes.
C. Erythromelaglia: Erythromelalgia is a condition characterized by burning pain, redness, and warmth in the extremities, but it is not typically associated with sickle cell disease.
D. Dyshidrotia: This term is not commonly used in medical terminology and does not specifically refer to swelling in the hands and feet.
Correct Answer is A
Explanation
A. Given the low hemoglobin level and weight, the patient is likely experiencing fatigue due to decreased oxygen-carrying capacity of the blood, leading to activity intolerance.
B. While weight loss may contribute to body image disturbance, it is not the primary concern for a patient with iron-deficiency anemia and low hemoglobin levels.
C. Anxiety related to the hospital environment may be present, but it is not the most appropriate nursing diagnosis based on the patient's clinical presentation and laboratory findings.
D. Impaired tissue integrity related to immobility is not the most appropriate nursing diagnosis for a patient with iron-deficiency anemia. This diagnosis is more commonly associated with pressure ulcers or skin breakdown in patients who are immobile for extended periods, which is not described in this scenario.
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