Which clinical manifestation should the nurse expect when a child with sickle cell anemia experiences an acute vaso-occlusive crisis?
a. Circulatory collapse
b. Cardiomegaly, systolic murmurs
c. Hepatomegaly, intrahepatic cholestasis
d. Painful swelling of hands and feet; painful joints
D
Feedback
A Circulatory collapse results from sequestration crises.
B Cardiomegaly, systolic murmurs, hepatomegaly, and intrahepatic cholestasis
result from chronic vaso-occlusive phenomena.
C Cardiomegaly, systolic murmurs, hepatomegaly, and intrahepatic cholestasis
result from chronic vaso-occlusive phenomena.
D A vaso-occlusive crisis is characterized by severe pain in the area of
involvement. If in the extremities, painful swelling of the hands and feet is seen;
if in the abdomen, severe pain resembles that of acute surgical abdomen; and if
in the head, stroke and visual disturbances occur.
You might also like to view...
A patient came to the clinic for follow-up care after his last visit. His laboratory tests for serum T4 and TSH confirm hypothyroidism. The nurse expects that this patient will be started on which medication?
a. Prednisone b. Hydrocortisone c. Levothyroxine d. Danazol
The nurse is reviewing the laboratory test results of a child who is receiving chemotherapy
To calculate the child's absolute neutrophil count, in addition to the total number of white blood cells, which results would the nurse use? Select all answers that apply. A) Bands B) Segs C) Eosinophils D) Basophils
The patient receiving a large IM dose of antibiotic was asked to please wait 20 to 30 minutes before checking out. The reason for this request is that:
1. the office staff needs to make sure that it was the right medicine before the patient leaves. 2. the nurse always forgets to ask patients about allergies before administering the antibiotic. 3. antibiotics are a common source of severe allergic reactions within the first few minutes after injection. 4. the staff wants to make sure that the patient has time to pay for the services de-livered that day.
The function of self-concept in human beings is to serve as a frame of reference that:
A) sets limits for cognitive ability. B) processes external stimuli from the environment. C) evaluates events as they are occurring in life. D) influences how one handles life situations.