Author Question: Which clinical manifestation should the nurse expect when a child with sickle cell anemia ... (Read 95 times)

kshipps · **on:** Jun 27, 2018

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

Question 2

Diabetes mellitus is a medical condition that could adversely affect pregnancy. It's frequency is increasing along with obesity and abnormal lipid profiles. Women who have GDM in pregnancy have no greater risk of developing type 2 diabetes.

Is this statement true or false? Indicate whether the statement is true or false

Ashley I · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

D
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A Circulatory collapse results from sequestration crises.
B Cardiomegaly, systolic murmurs, hepatomegaly, and intrahepatic cholestasis
result from chronic vaso-occlusive phenomena.
C Cardiomegaly, systolic murmurs, hepatomegaly, and intrahepatic cholestasis
result from chronic vaso-occlusive phenomena.
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.

Answer to Question 2

F
Women who develop GDM have a 35 to 60 likelihood of developing diabetes in the
next 10 to 20 years. About 7 of all pregnancies are affected by GDM with higher rates
among African Americans, Latinas, and American Indians.