Which of these statements about a client with one S gene (HbSA) who has sickle-cell trait is TRUE?

a. The client is asymptomatic and cannot pass the disease on to offspring.
b. The client is asymptomatic but is a carrier of the disease and may pass it on to offspring.
c. The client is symptomatic but cannot pass the disease on to offspring.
d. The client is symptomatic but is a carrier of the disease and may pass it on to offspring.


B
Sickle-cell anemia is a genetic disorder of hemoglobin abnormality that occurs most frequently in African Americans. Sickle-cell crisis can be precipitated by any situation that decreases oxygenation, including fatigue, infection, and emotional stress; when RBCs become sickled, they create circulatory problems caused by vessel obstruction and rupture, leading to chronic anemia. Symptoms include fatigue, jaundice, dyspnea, arrhythmias, and leg ulcers; symptoms of crisis include severe pain, fever, and decreased blood supply to various organs. However, a person who is a carrier of one S gene is asymptomatic and may pass it on to offspring.

Nursing

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