During an outpatient well visit with a patient who has sickle cell anemia, you make it PRIORITY to assess the patient's?

Hemoglobin A1C level

Appetite

Reflexes

Vaccination history

Answer and Explanation

The Correct Answer is D

A.   Hemoglobin A1C level is not typically assessed in patients with sickle cell anemia as it is primarily used to monitor long-term blood sugar control in individuals with diabetes mellitus.
B.   While appetite may be relevant to the overall health of the patient, it is not the priority assessment in a patient with sickle cell anemia.
C.   Reflexes may be assessed during the physical examination, but they are not the priority assessment in a patient with sickle cell anemia.
D.   Vaccination history is the priority assessment in a patient with sickle cell anemia because individuals with sickle cell disease are at increased risk of infections, particularly from
encapsulated bacteria. Therefore, ensuring that the patient is up-to-date on vaccinations, including pneumococcal and meningococcal vaccines, is crucial for preventing serious infections.

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Correct Answer is A

Explanation

A. This response accurately describes the pathophysiology of sickle cell crisis. During a crisis, sickled red blood cells clump together, leading to microvascular occlusion and impaired blood flow to tissues, resulting in pain.
B. Bleeding in the joints is not a characteristic feature of sickle cell crisis. It may occur in other conditions such as hemophilia or osteoarthritis but not in sickle cell crisis.
C. Disturbance in cellular metabolism is not the primary mechanism underlying the pain experienced during sickle cell crisis.
D. Bone marrow expansion with sickled cells may contribute to bone pain in sickle cell disease, but it is not the primary cause of pain during a sickle cell crisis.

A. Dusky mucous membranes B. Red tongue that is smooth and sore C. Shortness of breath on exertion D. Dyspnea

Correct Answer is B

Explanation

A. Dusky mucous membranes are not typically associated with pernicious anemia.
B. A red tongue that is smooth and sore is a common finding in pernicious anemia due to vitamin B12 deficiency, which affects the epithelial cells of the tongue.
C. Shortness of breath on exertion can occur in many types of anemia but is not specific to pernicious anemia.
D. Dyspnea is also a common symptom in various anemias but is not as characteristic as the red, smooth, and sore tongue in pernicious anemia.

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During an outpatient well visit with a patient who has sickle cell anemia, you make it PRIORITY to assess the patient's?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

TJ, a 30-year-old client is admitted in sickle cell crisis with symptoms of dyspnea and leg pain. TJ's significant other asks, "I don't really understand why he is hurting so badly." Which of the following responses by the nurse is best?

Correct Answer is A

Explanation

The nurse is performing an assessment on a client with a diagnosis of pernicious anemia. Which finding would the nurse expect to note in this client?

Correct Answer is B

Explanation

Which of the following is a characteristic feature of hemophilia?

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