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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 E

Explanation

A. Vaginal bleeding is not a typical sign of ovulation. Vaginal bleeding occurs during menstruation, which is distinct from ovulation.
B. A slight decrease in basal body temperature may occur before ovulation, not during ovulation itself.
C. Breast tenderness can occur due to hormonal changes during the menstrual cycle, but it is not a direct indicator of ovulation.
D. Decreased sex drive is not a typical symptom of ovulation. In fact, some women may experience an increase in sex drive around ovulation.

E. Lower abdominal pain/cramping, also known as mittelschmerz, is a common symptom of ovulation. It typically occurs on one side of the lower abdomen and can help indicate the timing of ovulation.

A. Monitor fluid intake and output. B. Limit weight bearing and ambulation. C. Assess lymph nodes for enlargement. D. Administer calcium supplements.

Correct Answer is A

Explanation

A. Monitor fluid intake and output. Monitoring fluid intake and output is essential in patients with multiple myeloma to assess for signs of dehydration or fluid overload, which can occur due to renal complications.
B. Limit weight bearing and ambulation. Limiting weight bearing and ambulation is not a
standard intervention for multiple myeloma unless there are specific complications such as bone fractures.
C. Assess lymph nodes for enlargement. Multiple myeloma primarily affects the bone marrow and plasma cells, not the lymph nodes.
D. Administer calcium supplements. While calcium supplementation may be necessary in some cases of multiple myeloma, it is not a priority action upon admission without further assessment.

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

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Naxlex Comprehensive Predictor Exams

The nurse is performing an assessment on a client who asks how she might recognize when she is ovulating. The nurse should explain that which occurs at ovulation?

Correct Answer is E

Explanation

Which action will the nurse include in the plan of care for a 72-year-old woman admitted with multiple myeloma?

Correct Answer is A

Explanation

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