NCLEX Practice Questions - Sickle Cell Anemia
In Hospital Nurse is attending a 43 year old African American male patient who is admitted with disease sickle cell anemia. Nurse plans to assess the circulation in the lower extremities after every 2 hours. For this purpose which outcome criteria would be used by nurse ??
- A. Body temperature of patient is 99°F or less
- B. Sensation reported when soles of feet are touched
- C. Toes moved in active range of motion
- D. Capillary refill of < Three seconds
Answer D is correct for this NCLEX Question
It is very important to assess the extremities for blood vessel occlusion in the patient with disease sickle cell anemia due to a change in capillary refill would indicate a change in circulation. Body temperature, motion, and sensation would not give information regarding peripheral circulation; therefore, other answers A, B, & C are not correct.