A 3-year-old child with sickle cell disease is admitted to the hospital in sickle cell crisis for sudden onset of severe abdominal pain. The nurse recognizes that the type of crisis the child is most likely experiencing is due to:
a. A thrombus from vascular occlusion
b. An intense gastrointestinal infection
c. Swelling of the liver
d. Enlargement of the spleen
A
The deformed sickle cells cause painful infarcts in the gastrointestinal tracts. Although the spleen may be enlarged, the onset of pain is not sudden unless there is a splenic sequestration.
You might also like to view...
The NCLEX-PN® is developed based on nurse practice acts and:
1. Standards of practice. 2. Vocational nursing job analysis. 3. NAPNES educational standards for the LPN/LVN. 4. State policies for nursing graduates.
A patient is experiencing poor perfusion in his right thorax as a result of suspected partially occluded arteries. Occlusion in which artery or arteries would cause this? Select all that apply
A) Aorta B) Internal mammary C) Subclavian D) Intercostal
The plasma level increase that occurs during pregnancy functions to do which of the following? Select all that apply
a. Increases renal filtration b. Dissipates fetal heat production c. Increases the transport of oxygen d. Increases heart rate during activity e. Produces swelling in the hands and feet f. Protects the mother from hemorrhage at delivery
A client lost 35 pounds over the past 3 months on a very low-carbohydrate diet. The nurse is concerned about certain vitamin deficiencies. What physical signs would suggest to the nurse that a vitamin deficiency might exist?
1. Reddened, bleeding gums 2. Generalized skin lesions 3. Swollen, shiny tongue 4. Difficulty maintaining balance