Sarah Jennings is a 21 year-old-African American married woman and the mother of a 12-month old-daughter. Mrs. Jennings was diagnosed at age 11 as having sickle cell anemia.

Sarah Jennings is a 21 year-old-African American married woman

Sarah Jennings is a 21 year-old-African American married woman and the mother of a 12-month old-daughter. Mrs. Jennings was diagnosed at age 11 as having sickle cell anemia. For the last 3 years she has remained largely asymptomatic. She is admitted to the hospital with sickle cell crisis. Her admitting complaints include severe joint pain both in upper and lower extremities, a temperature of 101.8 °F, and shortness of breath.

On physical examination, the nurse notes Mrs. Jennings has coarse rales in the base of both lungs, and that her lips are cyanotic and dry. Her nail beds are cyanotic, and when they are blanched capillary refill is slow.

Initial laboratory examination reveals hemoglobin of 8 gm/dl.

During the nursing history, it is revealed that Mrs. Jennings has problems drinking milk and eating certain dairy products for most of her adult life.

The next 5 questions are related to the case study.

Discuss at least two contributing factors for Mrs. Jennings sickle cell anemia that relate to biological variations by race and ethnic heritage.

Articulate three other racial groups with predisposition for sickle cell crisis.

Discuss the causes of sickle cell anemia.

Discuss at least two other conditions that Ms Jennings could be at risk for developing because of her race and ethnic heritage.

Describe two differences noted when the nurse is assessing the skin color of dark-skinned individuals

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