Which assessment findings would indicate to the nurse that a child with sickle cell disease is experiencing tissue ischemia?
A) Pain in the legs and chest
B) Bruising and nose bleed
C) Pale skin and fatigue
D) Fever and chills
A) Pain in the legs and chest
Explanation: A) The hypoxia that can result from groups of sickle cells clumping together and obstructing blood flow often results in tissue ischemia, which can lead to the development of a significant level of pain in the back, chest, and extremities. The pain is accompanied by other signs of ischemic damage, such as swelling, tenderness, a rapid respiratory rate, and hypertension.
B) The hypoxia that can result from groups of sickle cells clumping together and obstructing blood flow often results in tissue ischemia, which can lead to the development of a significant level of pain in the back, chest, and extremities. The pain is accompanied by other signs of ischemic damage, such as swelling, tenderness, a rapid respiratory rate, and hypertension.
C) The hypoxia that can result from groups of sickle cells clumping together and obstructing blood flow often results in tissue ischemia, which can lead to the development of a significant level of pain in the back, chest, and extremities. The pain is accompanied by other signs of ischemic damage, such as swelling, tenderness, a rapid respiratory rate, and hypertension.
D) The hypoxia that can result from groups of sickle cells clumping together and obstructing blood flow often results in tissue ischemia, which can lead to the development of a significant level of pain in the back, chest, and extremities. The pain is accompanied by other signs of ischemic damage, such as swelling, tenderness, a rapid respiratory rate, and hypertension.
You might also like to view...
A nurse is caring for a patient who has undergone organ transplantation
Because the sequence of amino acids in the major histocompatibility complex (MHC) molecules of the donor is different from that of the patient, the nurse will expect to administer which class of drugs? a. Antibiotics b. Antihistamines c. Immune globulins d. Immunosuppressants
A child with congestive heart failure (CHF) has been admitted. While assessing this client, the nurse would find which of the following?
1. Weight loss 2. Bradycardia 3. Tachycardia 4. Increased blood pressure
The nurse is caring for an elderly patient who has no apparent family. When questioned about his family and his definition of family, the patient states, "I have no family. They're all gone."
When asked, "Who prepares your meals?" he states, "I do, or I go out." Given the three different approaches to family nursing practice, which would be most appropriate for this patient? a. Family as context b. Family as patient c. Family as system d. Combination of "family as context" and "family as patient"
To support the nutritional needs of a client recovering from a burn injury, the nurse will prepare to administer which of the following?
1. High carbohydrate diet 2. High fat diet 3. Low protein diet 4. Vitamins C and A supplements