When sickle cells are not able to pass through the microcirculation, which of the following signs or symptoms will the nurse find on assessment of a child with sickle cell anemia?
a. edema c. fever
b. pain d. dizziness
B
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A Incorrect. Among signs or symptoms of sickle cell anemia, edema is not listed.
B Correct. When compared to normal RBCs, sickled cells are stiffer and less able to change shape. As a result, they are often unable to pass through the microcirculation, causing vaso-occlusion, pain, and organ infarction.
C Incorrect. Among signs or symptoms of sickle cell anemia, fever is not listed.
D Incorrect. Among signs or symptoms of sickle cell anemia, dizziness is not listed.
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