The nurse is caring for a 5-year-old male African American client ...

[mckennatimberlake]

The nurse is caring for a 5-year-old male African American client who complains of severe pain in his arms and legs and stomach. The nurse notes that the client has jaundice, fever, dyspnea, and swelling of the hands and feet.
 
  What blood disorder would the nurse suspect? A) Leukemia
  B) Anemia
  C) Sickle cell disease
  D) Idiopathic thrombocytopenia purpura (ITP)

Question 2

A nurse is caring for an elderly client with Alzheimer's disease (AD). What should the
  nurse assess for in this client?
 
  A) History of a series of small strokes
  B) Crack cocaine abuse
  C) High-dose folate supplementation
  D) Elevated blood pressure

[ynlevi]

Answer to Question 1

C
Feedback:
Sickle cell disease occurs in about 1 of 5,000 Americans of African descent. Symptoms of crisis include severe and unpredictable pain in the extremities and abdomen, jaundice, skin irritation and ulceration, fever, dyspnea, cough, swelling of the hands and feet, and increased infections. Signs of leukemia include fevers, malaise, anorexia, fatigue, bone pain, bruising, and bleeding. Signs and symptoms of anemia relate to the loss of oxygen-carrying capacity, the severity of hypoxia, and the causative factors. Early signs of ITP may include bruises and low platelet counts, petechiae, headache, pain, and swelling, as well as any abnormal bleeding.

Answer to Question 2

D