TJ, a 30-year-old client is admitted in sickle cell crisis with symptoms of dyspnea and leg pain. TJ's significant other asks, "I don't really understand why he is hurting so badly." Which of the following responses by the nurse is best?

"Clumping of abnormal red blood cells blocks the flow of blood through the capillaries."

"Bleeding in the joints occurs because red blood cells are being rapidly destroyed by the bone marrow."

"The pain is due to a disturbance in cellular metabolism."

"The bone marrow is expanding with the sickled cells and that causes pain."

Answer and Explanation

The Correct Answer is A

A.   This response accurately describes the pathophysiology of sickle cell crisis. During a crisis, sickled red blood cells clump together, leading to microvascular occlusion and impaired blood flow to tissues, resulting in pain.
B.   Bleeding in the joints is not a characteristic feature of sickle cell crisis. It may occur in other conditions such as hemophilia or osteoarthritis but not in sickle cell crisis.
C.   Disturbance in cellular metabolism is not the primary mechanism underlying the pain experienced during sickle cell crisis.
D.   Bone marrow expansion with sickled cells may contribute to bone pain in sickle cell disease, but it is not the primary cause of pain during a sickle cell crisis.

Nursing Test Bank

Test Bank #1: RN Pharmacology Exams Test Bank #2: RN Medical-Surgical Exams Test Bank #3: RN Fundamentals Exams Test Bank #4: RN Maternal-Newborn Exams Test Bank #5: RN Anatomy and Physiology Exams Test Bank #6: RN Obstetrics and Pediatrics Exams Test Bank #7: RN Fluid and Electrolytes Exams Test Bank #9: RN Adult Health Test Bank #10: RN Dosage Calculation Test Bank #11: RN Community Health Exams Test Bank #12: RN Psychology Exams Test Bank #13: RN Nursing Care Of Children Test Bank #14: RN Foundations of Nursing Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Exam #1: RN Comprehensive predictor 2023 proctored exam Exam #2: Ati rn vati comprehensive predictor proctored exam Exam #3: Ati Rn Comprehensive Predictor Proctored Exam 2023 Exam #4: Rn Comprehensive Predictor 2023 Proctored Exam - St. Joseph Exam #5: RN Comprehensive Predictor Proctored Exam (National U CA San Diego) Exam #6: Ati rn comprehensive predictor 2023 retake proctored exam Exam #7: RN Hesi Exit Proctored Exam Exam #8: Hesi RN Exit proctored exam Exam #9: Hesi rn exit proctored exam Exam #10: Hesi Rn compass exit B proctored exam

Free Nursing Study Resources

Correct Answer is C

Explanation

A. Prostate specific antigen: This test is used to screen for prostate cancer, not for diagnosing syphilis.
B. Enzyme-linked immunosorbent assay (ELISA): While ELISA can be used to detect antibodies for various infections, it is not the first-line test for syphilis.
C. Venereal disease research laboratory (VDRL): The VDRL test is commonly used to screen for syphilis, especially in the presence of a genital chancre.
D. Western blot test: This test is more commonly used to confirm HIV infection, not for initial syphilis screening.

A. Gastrointestinal bleeding B. Peptic ulcers C. Loss of intrinsic factor D. Genitourinary bleeding

Correct Answer is C

Explanation

A. Gastrointestinal bleeding is a common source of chronic blood loss leading to iron deficiency anemia.
B. Peptic ulcers can cause chronic gastrointestinal bleeding, contributing to iron deficiency.
C. Loss of intrinsic factor leads to vitamin B12 deficiency and pernicious anemia, not iron deficiency.
D. Genitourinary bleeding is another potential source of chronic blood loss that can result in iron deficiency anemia.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

TJ, a 30-year-old client is admitted in sickle cell crisis with symptoms of dyspnea and leg pain. TJ's significant other asks, "I don't really understand why he is hurting so badly." Which of the following responses by the nurse is best?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is collecting data from a male client who has been exposed to syphilis and has a genital chancre. Which of the following prescriptions should the nurse anticipate when notifying the provider of these findings?

Correct Answer is C

Explanation

Blood loss is a major cause of iron deficiency in adults. Some sources of chronic blood loss in adults are all except:

Correct Answer is C

Explanation

Which lab value is a reliable indicator of bone marrow suppression in a patient receiving chemotherapy?

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

In helping prepare a nursing care plan for a 90-pound, 82-year-old woman with iron-deficiency anemia with a hemoglobin of 8.2, the nurse agrees that the most appropriate nursing diagnosis would be:

A nurse in a provider's office is collecting data from a client who has ovarian cancer. Which of the following manifestations should the nurse expect?

What is the primary pathophysiological process that occurs in disseminated intravascular coagulation (DIC)?

A 30-year-old who is experiencing sickle cell crisis is admitted to the hospital. During the admission assessment, which findings can the nurse attribute to the client's blood disorder?

A nurse is caring for a client who is being evaluated for endometrial cancer. Which of the following findings should the nurse expect the client to report?

Which of the following can cause bone marrow suppression?