A nurse is assessing a child who is in a sickle cell crisis. Which of the following findings should the nurse expect?
Constipation
Pain
High fever
Bradycardia
The Correct Answer is B
During a sickle cell crisis, the child experiences severe pain due to the sickled red blood cells blocking blood flow in the vessels, leading to tissue ischemia and infarction. Pain is the hallmark symptom of sickle cell crisis and can occur in various parts of the body, such as the abdomen, chest, back, joints, and extremities.
A. Constipation is not a common symptom of sickle cell crisis. It may be associated with other conditions but is not directly related to sickle cell crisis.
C. High fever is not a typical finding in sickle cell crisis. Fever may occur due to infections, which individuals with sickle cell disease are at increased risk of developing, but it is not a direct symptom of the crisis itself.
D. Bradycardia (slow heart rate) is not commonly associated with sickle cell crisis. Tachycardia (rapid heart rate) may occur in response to pain, but bradycardia is not a typical finding.
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Related Questions
Correct Answer is D
Explanation
The nurse's priority assessment finding in an adolescent who experienced blunt trauma to the abdomen is low blood pressure (hypotension). Hypotension could indicate significant internal bleeding or hemorrhage, which is a life-threatening condition and requires immediate attention. The decreased blood pressure may be a sign of shock, and prompt intervention is needed to stabilize the client's condition and prevent further deterioration.
While all the other findings (respiratory rate, abdominal pain, and heart rate) are important and should be assessed and monitored, blood pressure is the most critical in this situation due to its potential association with severe internal injuries and the risk of hypovolemic shock.
Correct Answer is C
Explanation
When assessing the heart rate in an infant, the nurse should use the brachial artery. The brachial artery is located in the upper arm, and it is easily accessible in infants for measuring the heart rate by palpation. The other sites mentioned are not typically used for heart rate assessment in infants.
Option A (Apex of the heart) is not a site for directly measuring the heart rate; it is a location on the chest where the heartbeat can be heard most clearly with a stethoscope.
Option B (Carotid artery) is a site commonly used to assess the pulse in older children and adults but is generally not used for infants due to its location and risk of injury.
Option D (Radial artery) is a site commonly used to assess the pulse in older children and adults, but it can be challenging to locate and accurately measure in infants, especially during emergency situations. The brachial artery is the preferred site for infants.
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