medium · NCLEX-RN physiological

Kaleb, age 6, with sickle cell disease, presents with sudden lethargy and a rapidly enlarging abdomen. Vital signs show BP 78/44 mm Hg and HR 138/min.

Which condition is most consistent with these findings?

  1. Vaso-occlusive pain crisis
  2. Splenic sequestration
  3. Acute chest syndrome
  4. Aplastic crisis

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