A nurse is collecting data from a child who has sickle-cell disease and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect?

Constipation

Vomiting

Pain

Bradycardia

Answer and Explanation

The Correct Answer is C

A. Constipation: Vaso-occlusive crisis in sickle-cell disease is characterized by severe pain due to ischemia from blocked blood flow, rather than gastrointestinal symptoms like constipation.
B. Vomiting: Vomiting is not typically associated with vaso-occlusive crisis but may occur due to pain or other causes.
C. Pain: Pain is the hallmark symptom of vaso-occlusive crisis in sickle-cell disease, caused by ischemia and tissue damage.
D. Bradycardia: Bradycardia is not a typical finding in vaso-occlusive crisis; instead, tachycardia might be present due to pain or stress.

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Correct Answer is A

Explanation

A. Give the child 1⁄2 cup of orange juice to drink. These symptoms indicate hypoglycemia, a common early complication of diabetes treatment. Orange juice contains quick-acting sugars that can rapidly raise blood glucose levels and alleviate symptoms. This is the immediate action to manage the child's symptoms.
B. Call the dietary department and ask that the lunch tray be delivered early. Delayed action compared to treating the immediate hypoglycemia.
C. Contact the physician. While eventually necessary, immediate treatment of hypoglycemia takes precedence.
D. Obtain a blood glucose reading. Important to confirm hypoglycemia but not as urgent as providing immediate treatment.

A. Increased appetite B. Proteinuria C. Weight loss D. Hyperalbuminemia

Correct Answer is B

Explanation

A. Increased appetite: Increased appetite is not typically associated with nephrotic syndrome, as protein loss can lead to generalized malaise and decreased appetite.
B. Proteinuria: Proteinuria (excessive protein in the urine) is a hallmark finding in nephrotic syndrome due to increased permeability of the glomerular filtration barrier.
C. Weight loss: Weight gain due to edema is more common in nephrotic syndrome than weight loss.
D. Hyperalbuminemia: Nephrotic syndrome is characterized by hypoalbuminemia (low albumin levels) due to loss of albumin through the kidneys.

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A nurse is collecting data from a child who has sickle-cell disease and is experiencing a vaso-occlusive crisis. Which of the following findings should the nurse expect?

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