The nurse performs an assessment on four hospitalized pediatric clients. After reviewing each client's admitting diagnosis, which pediatric client 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.
Correct Answer: 4
Splenomegaly (enlarged spleen) is common in young children with sickle cell disease (SCD). All children with SCD should be assessed for splenomegaly. It would be unlikely that the 14-year-old with acute gastroenteritis would exhibit splenomegaly. It would be unlikely that the 17-year-old with an acute exacerbation of asthma would exhibit splenomegaly. It would be unlikely that the 11-year-old with an umbilical hernia would exhibit splenomegaly.
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