The nurse is preparing to perform an assessment on four children. After reviewing each child's admitting diagnosis, which of the following children may have an enlarged spleen?
1. 14 year old admitted with acute gastroenteritis
2. 17 year old admitted with an acute exacerbation of asthma
3. 11 year old admitted with an umbilical hernia
4. 9 year old admitted with a sickle cell crisis
4
Rationale 1: It would be unlikely that the 14 year old with acute gastroenteritis would exhibit splenomegaly (enlarged spleen).
Rationale 2: It would be unlikely that the 17 year old with an acute exacerbation of asthma would exhibit splenomegaly (enlarged spleen).
Rationale 3: It would be unlikely that the 11 year old with an umbilical hernia would exhibit splenomegaly (enlarged spleen).
Rationale 4: Splenomegaly is common in young children with sickle cell disease (SCD). All children with SCD should be assessed for splenomegaly (enlarged spleen).
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