A client is seen in the emergency department with severe pain related to a sickle cell crisis. What does the nurse understand is occurring with this client?
A) The client has a decreased tolerance of pain related to the chronic nature of the illness.
B) Bone marrow decreases the erythrocyte production causing decrease in hypoxia.
C) Overhydration enlarges the red blood cells.
D) Vascular occlusion in small vessels decreasing blood and oxygen to the tissues.
D
Feedback:
The person with sickle cell disease repeatedly suffers from two major problems: (1) episodes of sickle cell crisis from vascular occlusion, which develops rapidly under hypoxic conditions, and (2) chronic hemolytic anemia. During a sickle cell crisis, the sickle-shaped cells lodge in small blood vessels, where they block the flow of blood and oxygen to the affected tissue. The vascular occlusion induces severe pain in the ischemic tissue. The client may have increased tolerance for pain due to the chronic nature of the illness. Bone marrow increases the erythrocyte production. Underhydration increases the client's risk of developing a vaso-occlusive crisis.
You might also like to view...
In a group meeting, one of the members always arrives early and places the chairs in a circle so all members can interact. This person is responsible for confirming that the room is available for the monthly meetings
Which person does this describe? 1. Gatekeeper 2. Procedural technician 3. Coordinator 4. Initiator-contributor
Which of the following is the best way to assess if learning has occurred?
a. There is an appreciation for the new knowledge and skills learned. b. Participants passed an examination designed to measure learning. c. Participants stayed attentive throughout the program. d. There is a long-term change in knowledge and behavior.
A patient, age 89, has had a right below-the-knee amputation. He is progressing well but continues to complain of pain in the toes on his right foot. The physician told him that he is suffering from "phantom pain" in his amputated extremity
He asks the nurse to explain phantom pain. The most appropriate response would be a. "Phantom pain does not exist except in your mind." b. "I can't answer that. You'll have to ask the physician." c. "Phantom pain occurs because the nerve tracts that register pain in the amputated limb continue to send a message to the brain." d. "Phantom pain occurs when you start thinking about your loss. It's best to keep your mind occupied with other things."
A patient is being evaluated for disease of the lower motor neurons. Which assessment findings should the nurse identify as consistent with this health problem?
Select all that apply. 1. spasticity 2. flaccidity 3. steppage gait 4. fasciculations 5. muscle atrophy