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

Answer and Explanation

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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Correct Answer is C

Explanation

A. Presence of Bence-Jones protein in the urine is indicative of multiple myeloma, but hypercalcemia is a more urgent issue to address.
B. Severe back pain is common in multiple myeloma due to bone involvement, but it is not as immediately life-threatening as hypercalcemia.
C. Elevated serum calcium levels (hypercalcemia) are a common complication of multiple myeloma and can lead to various complications, including kidney damage, altered mental status, and cardiac arrhythmias. Therefore, it is crucial to report significantly elevated serum calcium levels promptly to the health care provider for appropriate management.
D. Patient reports no stool for 5 days may indicate constipation, which is important to address but is not as urgent as hypercalcemia in the context of multiple myeloma.

A. The use of latex condoms B. Avoiding sexual contact if a partner is known to have an STI C. Vaccination against vaccine-preventable STIs D. Limiting sexual partners

Correct Answer is A

Explanation

A. The use of latex condoms. Latex condoms are highly effective in reducing the transmission of many STIs when used consistently and correctly.
B. Avoiding sexual contact if a partner is known to have an STI. While avoiding contact with an infected partner is important, many people may not know if their partner is infected, and this does not provide protection against unknown infections.
C. Vaccination against vaccine-preventable STIs. While vaccination is important (e.g., for HPV and hepatitis B), it does not protect against all STIs.
D. Limiting sexual partners. Limiting sexual partners can reduce risk but does not eliminate the risk of STIs if other protective measures are not used.

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During a sickle cell crisis, which of the following symptoms is most commonly experienced by individuals with sickle cell disease?

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Naxlex Comprehensive Predictor Exams

Which information obtained by the nurse assessing a patient admitted with multiple myeloma is most important to report to the health care provider?

Correct Answer is C

Explanation

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Correct Answer is A

Explanation

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