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Which of the following are common manifestations of a sickle cell crisis? (Select all that apply)

Severe pain

Fever

Normal blood counts

Clear urine

Increased energy levels

Normal oxygen saturation levels

Jaundice

Answer and Explanation

Correct Answer : A,B,G

A.   Severe pain is a hallmark manifestation of a sickle cell crisis due to vaso-occlusion and tissue ischemia.
B.   Fever can occur during a sickle cell crisis, often indicating an underlying infection or inflammatory response.
C.   Normal blood counts are not typical during a sickle cell crisis; patients often exhibit anemia, leukocytosis, and thrombocytosis.
D.   Clear urine is not a common manifestation of a sickle cell crisis; hematuria or dark-colored urine may occur due to hemolysis or kidney damage.
E.   Increased energy levels are not typical during a sickle cell crisis; patients often experience fatigue and malaise.
F.   Normal oxygen saturation levels may occur in some patients during a sickle cell crisis, but it is not a consistent finding.
G.   Jaundice is common in sickle cell crisis due to hemolysis of red blood cells, leading to an increase in bilirubin levels.

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Correct Answer is A

Explanation

A. Three to seven days after menses stops. This is the best time to perform BSE as the breasts are least likely to be swollen and tender during this period.
B. Prior to the beginning of menses. Breasts are more likely to be swollen and tender before menstruation, which can make it harder to detect abnormalities.
C. On the second day of menstruation. During menstruation, hormonal changes can affect breast tissue, making the examination less reliable.
D. On the same day every month. For those with regular menstrual cycles, it is recommended to perform BSE a few days after menses stops for more accurate results.

A. Menopause B. Menarche C. The follicular phase D. The luteal phase

Correct Answer is C

Explanation

A. Menopause is the cessation of menstruation and marks the end of the reproductive years.
B. Menarche is the onset of menstruation and does not describe a phase of the menstrual cycle.
C. The follicular phase begins at the end of menses and ends at ovulation. During this phase, follicles in the ovaries mature, and one dominant follicle is selected for ovulation.
D. The luteal phase follows ovulation and ends with the start of menses. During this phase, the ruptured follicle transforms into the corpus luteum, which secretes progesterone to prepare the uterus for potential implantation of a fertilized egg.

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Which of the following are common manifestations of a sickle cell crisis? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching about breast self-examination (BSE) with a client who has a regular menstrual cycle. The nurse should instruct the client to perform BSE at which of the following times?

Correct Answer is A

Explanation

The part of the female reproductive cycle that begins at the end of menses and ends at ovulation is:

Correct Answer is C

Explanation

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