A nurse is caring for a client with sickle cell anemia during a vaso-occlusive crisis. Which of the following clinical manifestations is most likely to be observed during this crisis?
Increased blood pressure
Pale skin and mucous membranes
Severe joint pain
High energy levels
The Correct Answer is C
A) This choice is incorrect because increased blood pressure is not typically observed during a vaso-occlusive crisis in sickle cell anemia.
B) This choice is incorrect because pale skin and mucous membranes are more likely to be seen in clients with anemia due to decreased red blood cell count, but it is not specific to a vaso-occlusive crisis.
C) This choice is correct. A vaso-occlusive crisis in sickle cell anemia is characterized by the blockage of small blood vessels, leading to severe pain, particularly in the joints and bones.
D) This choice is incorrect because clients experiencing a vaso-occlusive crisis are more likely to feel fatigued and weak due to the lack of oxygen delivery, rather than having high energy levels.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A) This statement is incorrect because anemia is characterized by a decrease in red blood cell production or an abnormal decrease in hemoglobin levels, not an increase in red blood cell production.
B) This statement is incorrect because anemia is caused by a deficiency in iron, not an excess of iron.
C) This statement is correct. Anemia is characterized by a reduced number of red blood cells or a decreased hemoglobin concentration, which leads to a diminished ability of the blood to carry oxygen throughout the body.
D) This statement is incorrect. Anemia is not caused by a viral infection affecting the bone marrow; rather, it is typically caused by nutritional deficiencies, chronic diseases, or blood loss.
Correct Answer is D
Explanation
A) This choice is incorrect because ESA therapy is not typically associated with hypotension. In fact, an increase in blood pressure is a potential side effect of ESAs.
B) This choice is incorrect because hypokalemia (low potassium levels) is not a common adverse effect of ESA therapy.
C) This choice is incorrect because hypoglycemia (low blood sugar) is not a typical side effect of ESA therapy.
D) This choice is correct. ESA therapy can increase the risk of thrombosis (blood clot formation) due to the stimulation of red blood cell production. Clients receiving ESAs should be monitored for signs of thrombosis, such as swelling, pain, and redness in the extremities.
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