NSG 3850 Exam 1 | Actual Study
Questions and verified Answers complete
Solutions | A+ Graded | 2026 Updates |
100% correct
vStudy online at https://quizlet.com/_efhhg6
1. Sickle Cell Anemia: a genetic disorder that causes abnormal hemoglobin,
resulting in some red blood
cells assuming an abnormal sickle shape
2. What does sickle cell anemia cause?: Abnormal shape of RBCs can cause
decreased oxygenation
(because of the shape they can carry oxygen as efficiently).
They can also cause occlusions in blood vessels, resulting in pain.
3. What are the expected lab values for sickle cell anemia?: Hemoglobin and
Hematocrit
will be chronically low, however, when dehydrated they will create a 'false'
increase in values.
Bilirubin will increase.
WBC & Platelet will be higher (referred to as a chronic inflammatory state)
4. sickle cell anemia clinical manifestations & expected findings?: Joint Pain
Fatigue
Tachycardia/Murmurs/Cardiomegaly (big heart)
Jaundice (Due to excess bilirubin)
Low O2 Saturation
HEADACHE THAT WON'T SUBSIDE
,5. Why does sickle cell anemia cause higher levels of bilirubin?: Sickle cell
patient's
RBCs do not have as long as a life span as normal RBCs, therefore they are dying
out faster than the liver can filter
them out.
6. sickle cell crisis: Acute Vaso-Occlusive Crisis: Entrapment of erythrocytes &
leukocytes leading
to tissue hypoxia, inflammation, and necrosis. It is VERY painful.
7. Sickle cell crisis: Acute Chest Syndrome: This is the leading cause of death in
patients with sickle
cell.
a severe lung-related complication of sickle cell disease that affects both children
and adults. It creates a pneumonia
like illness.
8. Sickle cell crisis: Aplastic Crisis: Results from the human parvovirus.
Hemoglobin levels will fall rapidly and bone marrow cannot compensate, AS
EVIDENCE BY THE ABSENCE OF RETICULOCYTES (immature RBCs)
9. Sickle cell crisis: Sequestration Crisis: Results when organs pool the sickled cells.
Can effect the
liver, spleen, and LUNGS.
v
Study online at https://quizlet.com/_efhhg6
10. Complications of Sickle cell disease?: Stroke, Kidney/liver Failure, HF,
Pulmonary HTN, Acute
Chest Syndrome, Infection, & Reproductive Issues.
remember these patients are at risk for occlusions in blood vessels.
, 11. Sickle Cell Nursing Interventions: H.ydration
O.xygenation
P.ain Management
Keep the patient warm. Cold temperatures can send these patients into a crisis.
YOU NEED AN ORDER TO GIVE PRN BREAKTHROUGH PAIN MEDICATIONS.
12. Sickle Cell Nursing Care: educate on PCA pump, incentive spirometry.
Cluster care as much as possible.
Allow patients to take breaks during activities.
Infection prevention: Hand hygiene & Antibiotic Prophylaxis
13. Sickle Cell Medical Management: Hematopoietic Stem-Cell Transplant
Aspirin to help relieve mild/moderate pain, Hydromorphine for sever pain.
Chemotherapy: hydroxyurea- this decreases formation of sickled cells.
Blood Transfusions
Corticosterioids
Iron Supplements
IV FLUIDS!
14. What causes the abnormal shape of cells with Sickle Cell?: Strands inside the
cell
cause the abnormal shape. These strands come from abnormal hemoglobin
formation.
15. Potassium: High Levels s/s: PEAKED T-WAVES
Muscle Weakness
Diarrhea
Intestinal Cramping
Flaccid Paralysis
Questions and verified Answers complete
Solutions | A+ Graded | 2026 Updates |
100% correct
vStudy online at https://quizlet.com/_efhhg6
1. Sickle Cell Anemia: a genetic disorder that causes abnormal hemoglobin,
resulting in some red blood
cells assuming an abnormal sickle shape
2. What does sickle cell anemia cause?: Abnormal shape of RBCs can cause
decreased oxygenation
(because of the shape they can carry oxygen as efficiently).
They can also cause occlusions in blood vessels, resulting in pain.
3. What are the expected lab values for sickle cell anemia?: Hemoglobin and
Hematocrit
will be chronically low, however, when dehydrated they will create a 'false'
increase in values.
Bilirubin will increase.
WBC & Platelet will be higher (referred to as a chronic inflammatory state)
4. sickle cell anemia clinical manifestations & expected findings?: Joint Pain
Fatigue
Tachycardia/Murmurs/Cardiomegaly (big heart)
Jaundice (Due to excess bilirubin)
Low O2 Saturation
HEADACHE THAT WON'T SUBSIDE
,5. Why does sickle cell anemia cause higher levels of bilirubin?: Sickle cell
patient's
RBCs do not have as long as a life span as normal RBCs, therefore they are dying
out faster than the liver can filter
them out.
6. sickle cell crisis: Acute Vaso-Occlusive Crisis: Entrapment of erythrocytes &
leukocytes leading
to tissue hypoxia, inflammation, and necrosis. It is VERY painful.
7. Sickle cell crisis: Acute Chest Syndrome: This is the leading cause of death in
patients with sickle
cell.
a severe lung-related complication of sickle cell disease that affects both children
and adults. It creates a pneumonia
like illness.
8. Sickle cell crisis: Aplastic Crisis: Results from the human parvovirus.
Hemoglobin levels will fall rapidly and bone marrow cannot compensate, AS
EVIDENCE BY THE ABSENCE OF RETICULOCYTES (immature RBCs)
9. Sickle cell crisis: Sequestration Crisis: Results when organs pool the sickled cells.
Can effect the
liver, spleen, and LUNGS.
v
Study online at https://quizlet.com/_efhhg6
10. Complications of Sickle cell disease?: Stroke, Kidney/liver Failure, HF,
Pulmonary HTN, Acute
Chest Syndrome, Infection, & Reproductive Issues.
remember these patients are at risk for occlusions in blood vessels.
, 11. Sickle Cell Nursing Interventions: H.ydration
O.xygenation
P.ain Management
Keep the patient warm. Cold temperatures can send these patients into a crisis.
YOU NEED AN ORDER TO GIVE PRN BREAKTHROUGH PAIN MEDICATIONS.
12. Sickle Cell Nursing Care: educate on PCA pump, incentive spirometry.
Cluster care as much as possible.
Allow patients to take breaks during activities.
Infection prevention: Hand hygiene & Antibiotic Prophylaxis
13. Sickle Cell Medical Management: Hematopoietic Stem-Cell Transplant
Aspirin to help relieve mild/moderate pain, Hydromorphine for sever pain.
Chemotherapy: hydroxyurea- this decreases formation of sickled cells.
Blood Transfusions
Corticosterioids
Iron Supplements
IV FLUIDS!
14. What causes the abnormal shape of cells with Sickle Cell?: Strands inside the
cell
cause the abnormal shape. These strands come from abnormal hemoglobin
formation.
15. Potassium: High Levels s/s: PEAKED T-WAVES
Muscle Weakness
Diarrhea
Intestinal Cramping
Flaccid Paralysis
