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Home Q & A Board Biology-Related Homework Help Medicine Nursing and Clinical
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cristiik cristiik
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6 years ago
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
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6 years ago
ANS: 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. Circulatory collapse results from sequestration crises. Cardiomegaly, systolic murmurs, hepatomegaly, and intrahepatic cholestasis result from chronic vaso-occlusive phenomena.
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