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A nurse is assessing a 19-year-old patient who was brought to the ED in sickle cell crisis. Which of the following findings should the nurse expect?

High fever

Constipation

Bradycardia

Pain

Answer and Explanation

The Correct Answer is D

A. High fever. – Incorrect. Fever can occur with infection but is not a hallmark sign of sickle cell crisis.

B. Constipation. – Incorrect. Constipation is not a defining symptom of sickle cell crisis.

C. Bradycardia. – Incorrect. Tachycardia, not bradycardia, is common due to pain and hypoxia.

D. Pain. – Correct Answer. Severe pain is the most common symptom of sickle cell crisis due to vaso-occlusion and ischemia.

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Correct Answer is D

Explanation

A. Chart – Contains patient information but is not used for immediate verification before transfusion.

B. Order sheet – Ensures the transfusion is ordered but does not confirm patient identity.

C. Medication administration record – Lists medications but is not used to verify transfusion identity.

D. Identification wristband – Correct Answer. The wristband is the most accurate and immediate source for patient verification before administering blood products.

A. Regular B. Lantus C. Intermediate-and short-acting mix D. NPH

Correct Answer is A

Explanation

A. Regular insulin is the only insulin type that can be administered intravenously and is used in DKA treatment.

B. Lantus (glargine) is a long-acting insulin and is not used in acute situations.

C. Mixed insulins (intermediate and short-acting) are not appropriate for IV administration.

D. NPH is an intermediate-acting insulin and is not suitable for IV use.

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A nurse is assessing a 19-year-old patient who was brought to the ED in sickle cell crisis. Which of the following findings should the nurse expect?

Nursing Test Bank

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