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Which of the following are common manifestations of a sickle cell crisis? (Select all that apply)

Severe pain

Fever

Normal blood counts

Clear urine

Increased energy levels

Normal oxygen saturation levels

Jaundice

Answer and Explanation

Correct Answer : A,B,G

A.   Severe pain is a hallmark manifestation of a sickle cell crisis due to vaso-occlusion and tissue ischemia.
B.   Fever can occur during a sickle cell crisis, often indicating an underlying infection or inflammatory response.
C.   Normal blood counts are not typical during a sickle cell crisis; patients often exhibit anemia, leukocytosis, and thrombocytosis.
D.   Clear urine is not a common manifestation of a sickle cell crisis; hematuria or dark-colored urine may occur due to hemolysis or kidney damage.
E.   Increased energy levels are not typical during a sickle cell crisis; patients often experience fatigue and malaise.
F.   Normal oxygen saturation levels may occur in some patients during a sickle cell crisis, but it is not a consistent finding.
G.   Jaundice is common in sickle cell crisis due to hemolysis of red blood cells, leading to an increase in bilirubin levels.

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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. Creation of a "sterile" environment for the patient with the use of laminar airflow rooms B. Placement of patients in private rooms with high-efficiency particulate air (HEPA) filtration C. Strict and frequent handwashing by all people having contact with the patient D. Administration of combinations of prophylactic antibiotics

Correct Answer is C

Explanation

A. Creation of a "sterile" environment with laminar airflow rooms is not practical or necessary for preventing transmission of pathogens to patients with depressed bone marrow function. It may also not be feasible in many healthcare settings.
B. Placement of patients in private rooms with HEPA filtration may help reduce airborne pathogens but is not the most important measure for preventing transmission of harmful pathogens to patients with depressed bone marrow function.
C. Strict and frequent handwashing by all people having contact with the patient is the most important measure for preventing transmission of harmful pathogens, including bacteria and viruses, to immunocompromised patients. Hand hygiene is a fundamental infection control measure that significantly reduces the risk of healthcare-associated infections.
D. Administration of prophylactic antibiotics may be part of the treatment plan for some patients with depressed bone marrow function to prevent bacterial infections, but it is not the most important measure for preventing transmission of harmful pathogens. Hand hygiene is more effective in reducing the transmission of a wide range of pathogens, including bacteria, viruses, and fungi.

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Which of the following are common manifestations of a sickle cell crisis? (Select all that apply)

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