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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 A

Explanation

A. Monitor fluid intake and output. Monitoring fluid intake and output is essential in patients with multiple myeloma to assess for signs of dehydration or fluid overload, which can occur due to renal complications.
B. Limit weight bearing and ambulation. Limiting weight bearing and ambulation is not a
standard intervention for multiple myeloma unless there are specific complications such as bone fractures.
C. Assess lymph nodes for enlargement. Multiple myeloma primarily affects the bone marrow and plasma cells, not the lymph nodes.
D. Administer calcium supplements. While calcium supplementation may be necessary in some cases of multiple myeloma, it is not a priority action upon admission without further assessment.

A. Activity intolerance, related to fatigue. B. Disturbed body image, related to weight loss. C. Anxiety, related to unfamiliar hospital environment. D. Impaired tissue integrity, related to immobility.

Correct Answer is A

Explanation

A. Given the low hemoglobin level and weight, the patient is likely experiencing fatigue due to decreased oxygen-carrying capacity of the blood, leading to activity intolerance.
B. While weight loss may contribute to body image disturbance, it is not the primary concern for a patient with iron-deficiency anemia and low hemoglobin levels.
C. Anxiety related to the hospital environment may be present, but it is not the most appropriate nursing diagnosis based on the patient's clinical presentation and laboratory findings.
D. Impaired tissue integrity related to immobility is not the most appropriate nursing diagnosis for a patient with iron-deficiency anemia. This diagnosis is more commonly associated with pressure ulcers or skin breakdown in patients who are immobile for extended periods, which is not described in this scenario.

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

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Naxlex Comprehensive Predictor Exams

Which action will the nurse include in the plan of care for a 72-year-old woman admitted with multiple myeloma?

Correct Answer is A

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In helping prepare a nursing care plan for a 90-pound, 82-year-old woman with iron-deficiency anemia with a hemoglobin of 8.2, the nurse agrees that the most appropriate nursing diagnosis would be:

Correct Answer is A

Explanation

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