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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. Performing breast self-examination (BSE) on the first day of each month provides a consistent schedule for the client to conduct the examination, making it easier to remember and ensuring regularity.
B. The first day of the menstrual cycle may not be the best time to perform BSE for all women, as breast tissue may be more tender or swollen during menstruation.
C. Seven days after the menstrual cycle begins may not be the best time for BSE, as hormonal fluctuations and breast changes may not yet have stabilized.
D. Performing BSE every month during ovulation is not necessary, as ovulation does not directly affect breast tissue changes that need to be monitored.
Correct Answer is D
Explanation
A. Multiple hospitalizations for COPD are not a direct contraindication for HRT, although respiratory health should be monitored.
B. Concurrent treatment for GERD is not a contraindication for HRT.
C. History of dermatitis does not contraindicate the use of HRT.
D. History of breast cancer is a significant contraindication for HRT due to the potential for hormone therapy to stimulate the growth of hormone-sensitive cancer cells.
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