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?
The client's tongue is white.
The client is nauseated.
The client is jaundiced.
The client is short of breath.
The client reports feeling pain.
Correct Answer : C,E
A. The client's tongue being white is not typically associated with sickle cell crisis but may indicate other issues such as oral thrush.
B. Nausea can be a symptom associated with many conditions and is not specific to sickle cell crisis.
C. Jaundice is a common manifestation of sickle cell crisis due to hemolysis of red blood cells, leading to an increase in bilirubin levels.
D. Shortness of breath may occur in sickle cell crisis if there is severe anemia or if the crisis is complicated by acute chest syndrome, but it is not a defining characteristic.
E. Pain is a hallmark symptom of sickle cell crisis, occurring due to vaso-occlusion and tissue ischemia resulting from the sickling of red blood cells.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["B","C"]
Explanation
A. Scrotal warmth and redness are not typically early signs of testicular cancer. Common signs include painless testicular swelling or a lump.
B. Close male relatives of individuals with testicular cancer have a higher risk of developing the disease themselves, suggesting a genetic component.
C. Testicular cancer typically occurs in younger men, with the highest incidence between ages 15 to 40.
D. Testicular cancer usually affects only one testicle, though it can occur in both.
E. Impotence is not a common complication of orchiectomy, the surgical removal of one or both testicles. However, other complications such as infertility may occur.
Correct Answer is B
Explanation
A. Presence of plethora is a common symptom of polycythemia vera and indicates increased blood volume but is not immediately life-threatening.
B. Calf swelling and pain could indicate a deep vein thrombosis (DVT), which is a serious complication that requires immediate medical attention.
C. A platelet count of 450,000/microL is elevated but not as critical as the possibility of a DVT.
D. Hematocrit of 55% is high, which is expected in polycythemia vera, but it is not as immediately critical as the risk of thrombosis suggested by calf swelling and pain.
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