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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. Clotting is not directly related to the destruction of red blood cells.
B. Cyanosis refers to a bluish discoloration of the skin due to poor circulation or inadequate oxygenation, which is not directly indicative of red blood cell destruction.
C. Jaundice is the yellowing of the skin and eyes caused by the buildup of bilirubin, a byproduct of the destruction of red blood cells, which is a common symptom of hemolytic anemia.
D. Bleeding is not a symptom associated with the destruction of red blood cells but rather a lack of clotting factors or platelets.

A. "The pain associated with endometriosis is best relieved by bed rest." B. "Hormonal therapy will resolve endometriosis." C. "Endometriosis may be associated with painful bowel movements." D. "Endometriosis will not affect your ability to become pregnant."

Correct Answer is C

No explanation

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

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A patient is admitted to determine why red blood cells are being quickly destructed in the body. What finding should the nurse associate with this patient's health problem?

Correct Answer is C

Explanation

A nurse is reinforcing teaching to a client who has endometriosis. Which of the following statements should the nurse include in the teaching?

Correct Answer is C

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