Which clinical manifestation should the nurse expect when a child diagnosed 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

Quizplus · Accepted Answer

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

Which Clinical Manifestation Should the Nurse Expect When a Child