During a sickle cell crisis, which of the following symptoms is most commonly experienced by individuals with sickle cell disease?

Severe pain in the abdomen and joints

Fever and chills

Cough and shortness of breath

Numbness and tingling in the extremities

Answer and Explanation

The Correct Answer is A

A.   Severe pain in the abdomen and joints. Severe pain is the hallmark symptom of a sickle cell crisis, often occurring in the abdomen, joints, and bones due to vaso-occlusive events.
B.   Fever and chills. While fever can be a sign of infection in individuals with sickle cell disease, it is not the most common symptom during a sickle cell crisis.
C.   Cough and shortness of breath. These symptoms are more indicative of respiratory infections or complications like acute chest syndrome but are not the primary symptoms of a sickle cell crisis.
D.   Numbness and tingling in the extremities. These symptoms are not typically associated with a sickle cell crisis.

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Correct Answer is C

Explanation

A. Using a water-based lubricant during sexual activity can help reduce discomfort or vaginal dryness, which may occur after a hysterectomy.
B. After a total abdominal hysterectomy, menstrual periods will cease because the uterus, and often the ovaries, are removed during the procedure.
C. Taking a tub bath instead of a shower is not recommended after a total abdominal
hysterectomy and vaginal repair. Bathing in a tub can increase the risk of infection, especially if the surgical incisions are still healing. The client should avoid submerging the surgical site in water until it has fully healed and cleared by their healthcare provider.
D. Increasing intake of protein and vitamin C can support wound healing and overall recovery after surgery. This statement indicates appropriate understanding of postoperative care.

A. Decreased production of clotting factors B. Impaired platelet function C. Excessive activation of clotting factors and widespread clot formation D. Excessive platelet production

Correct Answer is C

Explanation

A. DIC is not characterized by decreased production of clotting factors. Instead, it involves consumption of clotting factors due to widespread activation of coagulation.
B. While platelet dysfunction may occur in DIC due to consumption and depletion of platelets, the primary pathophysiological process in DIC is the activation of clotting factors and formation of blood clots throughout the vasculature.
C. Excessive activation of clotting factors and widespread clot formation is the primary pathophysiological process in DIC. This leads to the formation of numerous small blood clots throughout the body's blood vessels, resulting in organ dysfunction and potentially life-threatening complications.

D. Excessive platelet production is not a characteristic feature of DIC. Instead, platelets are consumed and depleted as they are incorporated into the blood clots formed during the
coagulation cascade in DIC.

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During a sickle cell crisis, which of the following symptoms is most commonly experienced by individuals with sickle cell disease?

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Naxlex Comprehensive Predictor Exams

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Correct Answer is C

Explanation

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