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Exam (elaborations)

Sickle Cell Anemia Test Questions and Answers Graded A

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The client who has sickle cell anemia developed the condition of hand-foot syndrome because of what physiological process? Repeated crisis and infarction of the bones leading to uneven development of fingers and toes Damage to the liver related to repeat sickle cell crisis Repeat crisis and infarction involving the circulatory system of the arms and legs Damage to the kidneys related to repeat sickle cell crisis - A

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Sickle Cell Anemia
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Sickle Cell Anemia

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October 22, 2025
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Written in
2025/2026
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Sickle Cell Anemia Test Questions and Answers Graded A
The client who has sickle cell anemia developed Get an influenza immunization every year.
the condition of hand-foot syndrome because of Stay updated on the pertussis immunization.
what physiological process? Stay updated on the yellow fever immunization.
Repeated crisis and infarction of the bones Have a tuberculosis skin test every 5 years.
leading to uneven development of fingers and Stay updated on pneumococcal immunization. -
toes ANSWER -Get an influenza immunization
Damage to the liver related to repeat sickle cell every year.
crisis Stay updated on the pertussis immunization.
Repeat crisis and infarction involving the Stay updated on pneumococcal immunization.
circulatory system of the arms and legs
Damage to the kidneys related to repeat sickle
cell crisis - ANSWER -Repeated crisis and The nurse caring for the client with sickle cell
infarction of the bones leading to uneven anemia is aware that which factors could
development of fingers and toes precipitate a sickle cell crisis? Select all that
apply.
Dehydration
A client is admitted to the nurse's unit with sickle Cold temperature
cell crisis. What are the priority medical Infection
interventions that the nurse would expect to be Swimming
ordered by the healthcare provider? Select all Traveling to high altitudes - ANSWER -
that apply. Dehydration
Place the client on ordered oxygen. Cold temperature
Initiate oral and parenteral fluids per order. Infection
Medicate the client for pain. Traveling to high altitudes
Order an electrocardiogram.
Order ultrasound of the abdomen. -
ANSWER -Place the client on ordered Kaitlyn, a teenage female client with sickle cell
oxygen. disease, has been admitted to the nursing unit
Initiate oral and parenteral fluids per order. with a diagnosis of sickle cell crisis. She is
Medicate the client for pain. experiencing severe pain in her joints and
shortness of breath, and has a temperature of
101.2°F. Kaitlyn's oxygen saturation on
Which symptoms would the nurse expect the admission was 92%. She rates her pain at a 9 on
client in sickle cell crisis to exhibit on admission a 0-10 scale.What explanation should the nurse
to the hospital? Select all that apply. give to Kaitlyn when she asks what causes the
Bradycardia pain she is feeling?
Skin breakdown Inflammation of nerve endings related to fever
Fatigue Lack of blood circulation and oxygen into part of
Pallor the body
Bradypnea - ANSWER - Presence of lactic acid in the muscle tissue
Physical activity related to disease process -
ANSWER -Lack of blood circulation and
The client with sickle cell anemia is at high risk of oxygen into part of the body
respiratory infections. What client teaching would
the nurse include when addressing this topic? When sickle cells clump together and block
Select all that apply. capillaries, blood circulation to certain parts of the
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, Sickle Cell Anemia Test Questions and Answers Graded A
body is blocked. This decreased blood flow disease.
causes pain.

Kaitlyn asks to talk with the nurse privately. She
Kaitlyn states that she has been very busy with tells the nurse that all of the other girls in class
school lately and drinking less water. Which have started their periods "years ago," and she is
statement is the appropriate patient education for concerned that "something is wrong with me."
the nurse to provide? What would be your best response about her
Being adequately hydrated helps blood move concerns?
freely through capillary beds. "Everyone develops in their own way. You are
Warm beverages are best to vasodilate your fine."
stomach mucosa. "That is a great question for you to ask your
Keeping busy is good for the prevention of crisis. doctor."
It's good to drink water if you are able. - "It is common for teens with sickle cell disease to
ANSWER -Being adequately hydrated have a delay in their development."
helps blood move freely through capillary beds. "Something must be wrong because most teens
your age started their periods years ago." -
The client with sickle cell disease should avoid ANSWER -"It is common for teens with
dehydration. Being adequately hydrated helps sickle cell disease to have a delay in their
blood move freely through capillary beds and development."
prevents crisis.
It is common for puberty to be delayed in
teenagers with sickle cell disease. You should let
Kaitlyn states she wishes to do anything she can the client know if she is concerned. If so, she
to avoid getting an infection when she is could speak further with her doctor about the
discharged from the hospital. What information concern; however, it is normal for clients with
should the nurse share with her about avoiding sickle cell to start menstruating later than their
infection? Select all that apply. peers. You should acknowledge the client's
"Monitor cuts and sores." concerns and not dismiss the concerns as though
"Plan to receive an influenza vaccine every everything is fine because the client does not
year." understand this common side effect of her
"Avoid eating raw fruits and vegetables." disease.
"Perform good dental hygiene."
"Avoid childhood vaccinations." -
ANSWER -"Monitor cuts and sores." With the client's pain of 9 on a 0-10 scale and
"Plan to receive an influenza vaccine every oxygen saturation of 92%, a priority nursing
year." diagnosis would be which of the following?
"Perform good dental hygiene." Impaired tissue perfusion
Activity intolerance
You would educate the client to wash her hands Acute pain
frequently, plan to receive an influenza vaccine Knowledge deficit - ANSWER -Impaired
every year, perform good dental hygiene, and tissue perfusion
monitor any cuts, sores, or insect bites. Getting
enough sleep helps strengthen the immune Although all of the above nursing diagnoses
system. All childhood vaccines and boosters are could be appropriate, the priority one would be
especially important for people with sickle cell impaired tissue perfusion, which has to do with
2/6

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