A nurse is assessing a client who has sickle cell anemia. Which of the following findings is the priority for the nurse to report?
Slurred speech
Yellowed sclera
Ulcers on the ankles
Swelling in the joints
The Correct Answer is A
Choice A rationale:
Slurred speech could indicate a potential neurological complication in a client with sickle cell anemia, such as a stroke. Neurological symptoms require immediate attention and reporting to the healthcare provider.
Choice B rationale:
Yellowed sclera (jaundice) can be related to sickle cell anemia but is less acutely concerning than slurred speech.
Choice C rationale:
Ulcers on the ankles are often associated with sickle cell anemia, but they are not as urgent as neurological symptoms.
Choice D rationale:
Swelling in the joints is a potential manifestation of sickle cell anemia, but slurred speech indicates a more acute and concerning issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Genital herpes can be transmitted through viral shedding even when there are no visible lesions.
Choice B rationale:
Oil-based lubricants can weaken latex condoms, increasing the risk of condom breakage.
Choice C rationale:
Maintaining hydration is important during outbreaks to support the body's immune response.
Choice D rationale:
Acyclovir can help manage outbreaks, but it does not cure the infection.
Correct Answer is C
Explanation
Choice A rationale:
Increased serum amylase is a common finding in acute pancreatitis, and its decrease would be a positive sign. However, lipase is a more specific marker for pancreatic injury.
Choice B rationale:
Increased C-reactive protein is a marker of inflammation and would not necessarily indicate improvement in pancreatitis.
Choice C rationale:
Decreased serum lipase indicates improvement in the pancreatic injury and is a positive sign.
Choice D rationale:
Decreased platelets would not specifically indicate improvement in acute pancreatitis.
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