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 B

Explanation

A. "With your recurrent history, one of these times the cyst will be malignant.": This response is not appropriate as it may cause unnecessary fear and is not supportive or informative.
B. "I appreciate your concern regarding another surgical procedure. Would you like to discuss your concerns?": This response validates the client's feelings and opens a dialogue for further discussion, allowing the client to express her concerns and receive appropriate information and support.
C. "The surgical procedure is minimal, and you will not have to be concerned after you learn the results.": This response dismisses the client's concerns and does not provide an opportunity for discussion.
D. "A prolonged ovarian abnormality should be evaluated thoroughly.": While this statement is true, it does not address the client's immediate concerns and does not encourage an open
discussion.

A. Presence of plethora (excess body fluid) B. Calf swelling and pain C. Platelet count 450,000/microL D. Hematocrit 55%

Correct Answer is B

Explanation

A. Presence of plethora is a common symptom of polycythemia vera and indicates increased blood volume but is not immediately life-threatening.
B. Calf swelling and pain could indicate a deep vein thrombosis (DVT), which is a serious complication that requires immediate medical attention.
C. A platelet count of 450,000/microL is elevated but not as critical as the possibility of a DVT.
D. Hematocrit of 55% is high, which is expected in polycythemia vera, but it is not as immediately critical as the risk of thrombosis suggested by calf swelling and pain.

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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

Correct Answer is B

Explanation

Which finding about a patient with polycythemia vera is most important for the nurse to report to the health care provider?

Correct Answer is B

Explanation

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