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katalys katalys
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7 years ago
A client who has sickle-cell disease comes to the emergency room with fever, severe pain, and swollen and immobile joints. The nurse should recognize that the client's symptoms result from:
 
  a. alcohol ingestion
  b. inconsistent blood levels of prescribed daily medication
  c. sickle-cell crisis
  d. infection such as pneumonia
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#1
7 years ago
C
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.
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