A mother brings in her 8-month-old child to the ER. The mother reports the baby has recently started being extremely fussy, has a fever, and swelling in the hands and feet. The child is diagnosed with sickle cell disease. As the nurse, you know that the swelling in the hands and feet in the infant is termed?
Phalitis
Dactylitis
Erythromelaglia
Dyshidrotia
The Correct Answer is B
A. Phalitis: This term is not commonly used and does not specifically refer to swelling in the hands and feet.
B. Dactylitis: Dactylitis is a common manifestation of sickle cell disease in infants, characterized by painful swelling of the hands and feet due to vaso-occlusive episodes.
C. Erythromelaglia: Erythromelalgia is a condition characterized by burning pain, redness, and warmth in the extremities, but it is not typically associated with sickle cell disease.
D. Dyshidrotia: This term is not commonly used in medical terminology and does not specifically refer to swelling in the hands and feet.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
A. "Many herbal products have not undergone long-term testing for safety and efficacy.": This statement acknowledges the client's interest in herbal therapies while also providing important information about the potential risks associated with their use.
B. "Herbal therapies have no benefits and will not help your symptoms.": This statement is overly dismissive and may not be accurate, as some herbal therapies have been shown to provide symptom relief for menopausal symptoms.
C. "That is a good idea, as there are no ill effects associated with the use of herbal therapies.": This statement is inaccurate, as herbal therapies can have side effects and interactions with other medications.
D. "You should begin immediately, as they will help you.": This statement is not appropriate as it provides an unqualified endorsement of herbal therapies without considering potential risks or
individual circumstances.
Correct Answer is C
Explanation
A. Explain disease course and expected signs and symptoms to the family. While education is essential, it is not directly related to addressing the acute pain associated with thrombotic crisis.
B. Check peripheral pulses, color, and temperature of extremities every 30 hours. This intervention is important for assessing peripheral perfusion but may not directly address the acute pain associated with thrombotic crisis.
C. Reposition the client, paying close attention to proper body alignment. Repositioning the client to ensure proper body alignment can help alleviate pressure points and discomfort associated with thrombotic crisis.
D. Provide active range of motion (ROM) every 2 hours. While ROM exercises are important for preventing complications such as joint stiffness, they may not directly address the acute pain associated with thrombotic crisis.
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