A 6-year-old male presents with fatigue, jaundice, and irritability. A blood smear shows the presence of sickled cells. Erythropoiesis is compromised in this child; which crisis should the nurse monitor the patient for?
a. Vaso-occlusive crisis
b. Sequestration crisis
c. Aplastic crisis
d. Hyperhemolytic crisis
ANS: C
Aplastic anemia is caused by diminished erythropoiesis despite an increased need for new eryth-rocytes. Vaso-occlusive crisis is manifested by pain. Sequestered crisis is manifested by enlarged spleen. Hyperhemolytic crisis is due to infection.
You might also like to view...
While examining a patient admitted for acute appendicitis, the patient complains of pain in the abdominal region. You recognize that the patient is experiencing which type of pain?
a. somatic pain c. chronic pain b. cutaneous pain d. visceral pain
Which statement made by the client preparing to have a cervical biopsy indicates a need for clarification regarding the follow-up care needed?
A. "I will not lift objects weighing more than 10 pounds for about 2 weeks." B. "I will refrain from having intercourse for 48 hours." C. "I will rest for 24 hours after the procedure." D. "I will use napkins rather than tampons."
The nurse is assessing an abdominal wound in the postoperative period. Which of the following signs would alert the nurse to an infection?
A) Edges well approximated B) Sutures in place C) Edges warm to the touch D) Absence of bleeding
The student nurse studying bowel elimination learns that the following statements accurately describe the process of peristalsis. Select all that apply
A) The sympathetic nervous system stimulates movement. B) The autonomic nervous system innervates the muscles of the colon. C) Peristalsis occurs every 3 to 12 minutes. D) Mass peristaltic sweeps occur one to four times each 24-hour period in most people. E) Mass peristalsis often occurs after food has been ingested. F) One-third to one-half of ingested food waste is normally excreted in the stool within 48 hours.