Log out Go to App
Go to App

Learning Materials

Features

Discover

Chapter 23: Problem 158

A child is admitted in sickle cell crisis. Assessment includes a low HCT, reduced BP, and symptoms of shock. The nurse deduces that the child is in which type of crisis? A. Vaso-occlusive B. Sequestration C. Hypoxemia D. Septic

Short Answer

Expert verified
Answer: B. Sequestration crisis.

Step by step solution

01

Understand the given symptoms and signs

In this case, the child is showing a low hematocrit (HCT) level, reduced blood pressure (BP), and symptoms of shock. We need to know which type of sickle cell crisis these symptoms point towards.
02

Evaluate option A - Vaso-occlusive crisis

Vaso-occlusive crisis is characterized by the blockage of blood vessels by sickled red blood cells, leading to tissue ischemia and pain. Although a vaso-occlusive crisis can cause pain and reduced blood flow, it may not directly and immediately lead to low hematocrit, reduced BP, and symptoms of shock. So, this option is less likely to be the correct answer.
03

Evaluate option B - Sequestration crisis

Sequestration crisis occurs when a large amount of blood is trapped in organs like the spleen or liver, leading to a rapid decrease in blood circulation. This crisis is characterized by a sudden drop in hematocrit, low BP, and symptoms of shock, which matches the symptoms described in the problem. Therefore, this option is the most likely answer.
04

Evaluate option C - Hypoxemia crisis

Hypoxemia refers to a condition where there is an abnormally low level of oxygen in the blood. While it can be a contributing factor in a sickle cell crisis, the given symptoms of low HCT, reduced BP, and shock do not solely point towards hypoxemia crisis. So, this option is not the correct answer.
05

Evaluate option D - Septic crisis

A septic crisis in sickle cell disease refers to severe infection, often with fever, which can be life-threatening. This might be accompanied by low blood pressure and shock, but the low hematocrit level is not a direct symptom of a septic crisis, making this option less likely to be the correct answer.
06

Conclude with the most likely type of crisis

Based on the analysis of each option, it is clear that the child is most likely in a sequestration crisis, as the given symptoms match this type of crisis the best. Therefore, the correct answer is B. Sequestration.

Unlock Step-by-Step Solutions & Ace Your Exams!

  • Full Textbook Solutions

    Get detailed explanations and key concepts

  • Unlimited Al creation

    Al flashcards, explanations, exams and more...

  • Ads-free access

    To over 500 millions flashcards

  • Money-back guarantee

    We refund you if you fail your exam.

Start your free trial

Over 30 million students worldwide already upgrade their learning with Vaia!

One App. One Place for Learning.

All the tools & learning materials you need for study success - in one app.

Get started for free

Most popular questions from this chapter

The physician is in route to perform a lumbar puncture on a client with encephalitis. The nurse assesses lethargy and sluggish pupil reactions. Which action is most appropriate? A. Notify the charge nurse of the assessment findings B. Obtain the lumbar puncture tray from supply C. Explain the lumbar puncture procedure to the family D. Elevate the head of the bed to high Fowler's

The nurse is caring for a client with a head injury. Which of the following assessment findings cause the nurse the most concern? A. Sluggish-to-react pupil B. Negative babinski reflex C. Bilateral decreased hand grips D. Decerebrate posturing

The nurse would instruct clients with iron deficiency anemia to add foods high in iron to their diets. Which of the following foods would be included? A. Nuts B. Egg whites C. Carrots D. Oranges

A client with cancer metastatic to the brain is scheduled for an MRI. The spouse states, "I don't know that she will be able to be still for the procedure." Which medication would the nurse expect to be ordered prior to the procedure? A. Diphenhydramine (Benadryl) B. Lorazepam (Ativan) C. Ciprofloxacin (Cipro) D. Propofol (Diprivan)

The client with Wilms' tumor is scheduled to receive vincristine (Oncovin). Which would the nurse contribue to the teaching plan? A. Report any kind of colon disturbances such as diarrhea B. Report neurological symptoms, such as tingling or numb fingers or hands C. Report any urinary symptoms, such as burning on urination D. Report any pulmonary symptoms, such as a hacking cough
See all solutions

Recommended explanations on Biology Textbooks

Genetic Information

Read Explanation

Cells

Read Explanation

Organ Systems

Read Explanation

Energy Transfers

Read Explanation

Responding to Change

Read Explanation

Chemistry of Life

Read Explanation
View all explanations

What do you think about this solution?

We value your feedback to improve our textbook solutions.

Study anywhere. Anytime. Across all devices.

Sign-up for free