Examl 2:l NRl 324/l NR324l (NEWl 2026/l
2027l Update)l Adultl Healthl Il Guide|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-Chamberlain
QUESTION
Sicklel celll anemial episodes
Answer:
Severe,l painful,l acutel exacerbationl ofl sicklingl causesl al vaso-occlusivel crisis
-Severel capillaryl hypoxial eventuallyl leadsl tol tissuel necrosis
-Lifel threateningl shockl isl al resultl ofl severel O2,l depletionl ofl thel tissuesl andl al
reductionl ofl thel circulatingl fluidl volume
QUESTION
Whatl isl al majorl causel ofl morbidityl andl mortalityl ofl patientsl withl sicklel celll anemia
Answer:
Infection
-Pneumococcall pneumonial mostl common
-Severel infectionsl canl causel aplasticl crisis
QUESTION
Diastolicl pressure
Answer:
Lowestl pressurel thatsl inl ourl arteriall systeml whenl thel ventriclesl arel refilling
QUESTION
Cardiacl outputl determines
Answer:
profusionl ofl thel oxygenatedl bloodl tol thel cells
,--COl isl amountl ofl bloodl ejectedl byl thel heartl inl 1l min
QUESTION
Diagnosticl studiesl forl sicklel celll disease
Answer:
Peripherall bloodl smear
Sicklingl test
Electrophoresisl ofl hemoglobin
Skeletall Xrays
Magneticl resonancel imagingl (MRI)
Dopplerl studies
Xl ray
QUESTION
Truel orl false:l Ifl al patientl withl sicklel celll anemial beginsl tol feell sickl orl developsl al
sorel throatl theyl shouldl restl andl managel withl homel medications
Answer:
FALSE:l theyl needl tol seel al doctorl immediately
QUESTION
Hospitalizedl patientsl inl sicklel celll crisis
Answer:
O2l forl hypoxial andl tol controll sickling
Vigilancel forl respiratoryl failure
Restl with
QUESTION
Whatl isl thel biggestl probleml withl sicklel celll patients?
Answer:
Under-treatmentl isl al majorl problem
QUESTION
Painl managementl forl sicklel celll patients
,Answer:
Oftenl painl medicationl tolerant
Requirel continousl andl breakthroughl analgesia
QUESTION
Whatl isl thel onlyl anti-sicklingl agentl shownl tol bel clinicallyl beneficial
Answer:
Hydrea
QUESTION
Ironl overloadl disorder
Answer:
Hemochromatosis
-primarilyl causedl byl al geneticl defect
-mayl occurl secondaryl tol otherl diseases
-Geneticl link
--increasedl intestionall absorption
--increasedl tissuel ironl deposition
QUESTION
Thrombocytopenia
Answer:
Reductionl ofl platelets
-resultsl inl abnormall hemostasis
--prolongedl orl spontaneousl bleeding
Primarilyl anl acquiredl disorder
--commonlyl froml ingestionl ofl highl dosesl ofl certainl drugs
QUESTION
Causesl ofl thrombocytopenia
Answer:
•Inherited
•Acquired
, -Immunel Thrombocytopenial purpural (ITP)
-Thromboticl Thrombocytopenial purpural (TTP)**medicall emergency**
-Heparin-inducedl Thrombocytopenial (HIT)
QUESTION
Thrombocytopenial clinicall manifestations
Answer:
Prolongedl bleedingl afterl routinel proceduresl
--internall bleedingl mayl manifestl asl weakness
QUESTION
Diagnosticl testl forl thrombocytopenia
Answer:
Lowl plateletl countl
--prolongedl bleedingl <l 50,000
--hemorrhagel decreasel 20,000
Labl testsl forl hemostasisl andl coagulationl mayl bel normal
Bonel marrowl examl canl identifyl productionl problemsl asl thel cause
Specificl assaysl canl assist
QUESTION
Acutel carel ofl thrombocytopenia
Answer:
Preventl orl controll hemorrhage
Bleedingl usuallyl beginsl superficially
Anyl bleedingl needsl evaluationl andl treatment
Watchl forl bleedingl thatl canl bel difficultl tol detect
Avoidl IMl injections
Ifl subcutaneousl injectionl isl
Closelyl monitorl plateletl countl ,l coagulationl studies,l Hgb,l andl Hct
Managel bloodl lossl froml excessivel menstruall bleeding
QUESTION
Nursingl Implementationl ofl thrombocytopenia
2027l Update)l Adultl Healthl Il Guide|l
Questionsl &l Answersl |l Gradel A|l 100%l
Correctl (Verifiedl Solutions)-Chamberlain
QUESTION
Sicklel celll anemial episodes
Answer:
Severe,l painful,l acutel exacerbationl ofl sicklingl causesl al vaso-occlusivel crisis
-Severel capillaryl hypoxial eventuallyl leadsl tol tissuel necrosis
-Lifel threateningl shockl isl al resultl ofl severel O2,l depletionl ofl thel tissuesl andl al
reductionl ofl thel circulatingl fluidl volume
QUESTION
Whatl isl al majorl causel ofl morbidityl andl mortalityl ofl patientsl withl sicklel celll anemia
Answer:
Infection
-Pneumococcall pneumonial mostl common
-Severel infectionsl canl causel aplasticl crisis
QUESTION
Diastolicl pressure
Answer:
Lowestl pressurel thatsl inl ourl arteriall systeml whenl thel ventriclesl arel refilling
QUESTION
Cardiacl outputl determines
Answer:
profusionl ofl thel oxygenatedl bloodl tol thel cells
,--COl isl amountl ofl bloodl ejectedl byl thel heartl inl 1l min
QUESTION
Diagnosticl studiesl forl sicklel celll disease
Answer:
Peripherall bloodl smear
Sicklingl test
Electrophoresisl ofl hemoglobin
Skeletall Xrays
Magneticl resonancel imagingl (MRI)
Dopplerl studies
Xl ray
QUESTION
Truel orl false:l Ifl al patientl withl sicklel celll anemial beginsl tol feell sickl orl developsl al
sorel throatl theyl shouldl restl andl managel withl homel medications
Answer:
FALSE:l theyl needl tol seel al doctorl immediately
QUESTION
Hospitalizedl patientsl inl sicklel celll crisis
Answer:
O2l forl hypoxial andl tol controll sickling
Vigilancel forl respiratoryl failure
Restl with
QUESTION
Whatl isl thel biggestl probleml withl sicklel celll patients?
Answer:
Under-treatmentl isl al majorl problem
QUESTION
Painl managementl forl sicklel celll patients
,Answer:
Oftenl painl medicationl tolerant
Requirel continousl andl breakthroughl analgesia
QUESTION
Whatl isl thel onlyl anti-sicklingl agentl shownl tol bel clinicallyl beneficial
Answer:
Hydrea
QUESTION
Ironl overloadl disorder
Answer:
Hemochromatosis
-primarilyl causedl byl al geneticl defect
-mayl occurl secondaryl tol otherl diseases
-Geneticl link
--increasedl intestionall absorption
--increasedl tissuel ironl deposition
QUESTION
Thrombocytopenia
Answer:
Reductionl ofl platelets
-resultsl inl abnormall hemostasis
--prolongedl orl spontaneousl bleeding
Primarilyl anl acquiredl disorder
--commonlyl froml ingestionl ofl highl dosesl ofl certainl drugs
QUESTION
Causesl ofl thrombocytopenia
Answer:
•Inherited
•Acquired
, -Immunel Thrombocytopenial purpural (ITP)
-Thromboticl Thrombocytopenial purpural (TTP)**medicall emergency**
-Heparin-inducedl Thrombocytopenial (HIT)
QUESTION
Thrombocytopenial clinicall manifestations
Answer:
Prolongedl bleedingl afterl routinel proceduresl
--internall bleedingl mayl manifestl asl weakness
QUESTION
Diagnosticl testl forl thrombocytopenia
Answer:
Lowl plateletl countl
--prolongedl bleedingl <l 50,000
--hemorrhagel decreasel 20,000
Labl testsl forl hemostasisl andl coagulationl mayl bel normal
Bonel marrowl examl canl identifyl productionl problemsl asl thel cause
Specificl assaysl canl assist
QUESTION
Acutel carel ofl thrombocytopenia
Answer:
Preventl orl controll hemorrhage
Bleedingl usuallyl beginsl superficially
Anyl bleedingl needsl evaluationl andl treatment
Watchl forl bleedingl thatl canl bel difficultl tol detect
Avoidl IMl injections
Ifl subcutaneousl injectionl isl
Closelyl monitorl plateletl countl ,l coagulationl studies,l Hgb,l andl Hct
Managel bloodl lossl froml excessivel menstruall bleeding
QUESTION
Nursingl Implementationl ofl thrombocytopenia
