The 4-year-old patient with a history of sickle cell disease is brought to the emergency room complaining of severe chest pain and cough. Upon assessment, the nurse notes a respiratory rate of 32, a temperature of 39.1°C, and a heart rate of 128 bpm. Which test results does the nurse anticipate? Select all that apply.

Hemoglobin 8 mg/dL , White blood cell count 38,000/mm³ , Presence of cholelithiasis on ultrasound , Right ventricular dilation on echocardiogram , Bilateral upper lobe infiltrates on chest x-ray. The child with sickle cell disease (SCD) and fever, tachycardia, severe chest pain, and cough is demonstrating signs of acute chest syndrome. This presents with the anemia associated with sickle cell crisis, leukocytosis, and bilateral upper lobe infiltrates on chest x-ray. Cholelithiasis and right ventricular dilation are both common symptoms of patients with sickle cell disease, so these results are consistent as well.

The 4-year-old patient with a history of sickle cell disease...

Category: Reduction of Risk Potential
Difficulty: 10

Topics: Cardiovascular Hematology/Oncology Radiology Respiratory Genetics

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