Which major symptom indicates to the nurse that patient diagnosed with sickle cell anemia is ex-periencing a vasoocclusive crisis?
a. Peripheral edema
b. Pain
c. Petechiae
d. An enlarged spleen
ANS: B
Vasoocclusive crisis is extremely painful and may last for days or even weeks, with an average duration of 4-6 days. Vasoocclusive crisis does not promote peripheral edema, petechiae, or an enlarged spleen.
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A woman in her second trimester continues to smoke a pack of cigarettes a day despite stating that she understands why smoking is bad for her and for her fetus. Which action by the nurse is best?
A. Assess the patient for past trauma and abuse. B. Document the information in the patient's chart. C. Review prior teaching done regarding smoking. D. Show photos of babies born with abnormalities.
A researcher is studying the effect of massage on the alleviation of pain in cancer patients. The study would be described as:
A) Descriptive B) Exploratory C) Applied D) Basic
A client has been diagnosed with Paget's disease of the bone. The nurse knows that this client is likely to
A) develop painful urate crystal deposits. B) undergo synovial fluid analysis. C) have an alkaline phosphatase level that is significantly elevated. D) have normal bone formation on x-ray examination.
The nurse notes that a patient is prescribed to have a human leukocyte antigen (HLA) test drawn. For which health problems should the nurse potentially plan care for this patient?
Select all that apply. 1. osteoporosis 2. Paget disease 3. rheumatoid arthritis 4. ankylosing spondylitis 5. juvenile rheumatoid arthritis