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Practice Question

A nurse is assessing a school-age child who has sickle cell anemia and is experiencing a vasoocclusive crisis. Which of the following findings should the nurse expect

Answer Choices:

Correct Answer:

Hepatomegaly

Rationale:

🩺 Vasoocclusive crisis occurs when sickled RBCs block blood flow, leading to ischemia and organ enlargement.

🩸 Hepatomegaly and splenomegaly may develop from repeated sickling and sequestration of cells in organs.

🚫 Hemoglobin of 14.5 g/dL is normal; in sickle cell, hemoglobin is usually lower due to chronic anemia.

💧 Increased urination isn’t typical of vasoocclusive crisis but may occur in renal impairment.

👁️ Periorbital edema is more associated with renal conditions, not sickle crisis.

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This question is from RN Concept based Assessment Level 3 with NGN Sept which contains 138 questions.

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From Exam
RN Concept based Assessment Level 3 with NGN Sept

138 Questions

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Question Details
  • Category: RN Nursing Exam(s)
  • Subcategory: ATI Exam(s)
  • Domain: RN Concept-Based Assessment Level Exam(s)
  • Answer Choices: 4
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