NUR 170: Exam 1 () Concepts of Medical-Surgical
Nursing Questions and Answers, 100% Correct
Grade A+ (Galen)
Generalvs/vsxvofvAnemiav-
vANSWERvSOB,vfatigue,vweakness,vconfusion,vdizziness,vpale,vincreasedvHR,vincreasedvRR
SCDv -v ANSWERv Cellsv =v 1/2v eatenv donutv (v sicklev shaped)v andv clumpv together
RFvofvSCDv-
vANSWERvGeneticsv+vSCDvcrisisv(vstress,vdehydration,vvasoconstriction,vcoldvweather,vinfection,valti
tudevchanges,vstrenuousvexcercisevandvpregnancy)
ExpectedvfindingsvofvSCDv-vANSWERvJaundice,vitching,vhypoxia,vclottingvissues,vandvpain
Interventionsv forv SCDv -v ANSWERv 1.v Elevatev HOB
2. Adminv02
3. Promotevvasodilation
4. HypotonicvIVvsolutionsv250vmL/vxv4vhrs
5. Preventvvasoconstriction
6. Frequentvcirculationvchecksv(v pulses)
7. Monitorvforvinfection
8. ROMvasvtolerated
9. RBCvtransfusionveveryv3-4vmonths
10. MonitorvforvSBDv(vulcers)
11. Painv Managementv (v opioids)
,Teachingv forv SCDv -v ANSWERv 1.v Increasev fluidv intake
2. S/vsxvofvinfectionvandvprevention
, 3. GeneticvCounseling
4. Propervclothing
5. Immunizations
6. Avoidvlargevclouds
PrioritiesvduringvSCDvcrisisv-vANSWERv1.vHydrating
2. Perfusion
3. Oxygenation
4. Analgesia
IronvdeficiencyvAnemiavs/vsxv-
vANSWERvGeneralvanemiavs/vsxv+vfissuresvinvcornervofvmouth,vspoonvnails,vandvpica
IronvdeficiencyvAnemiav-
vANSWERvDuevtovlossvofvbloodvflowvresultingvin vhypoxiavorvduevtovpoorvdietaryvintake vofviron
Interventionsvforvironvdeficiencyvanemiav-vANSWERv1.vAdminv02
2. Elevatev hob
3. Promotevfoodvsourcesv+vroutinevironvsupplementvintake
4. CorrectvGIvbleedvifvassociated
5. Consultationsv:vGI,vsocialvworker,vdietician
Ironvdeficiencyvanemiavprioritiesv-vANSWERv1.vDeterminevunderlyingvcause
2. Treatvproblem
3. Preventvproblemvfromvoccurring
Nursing Questions and Answers, 100% Correct
Grade A+ (Galen)
Generalvs/vsxvofvAnemiav-
vANSWERvSOB,vfatigue,vweakness,vconfusion,vdizziness,vpale,vincreasedvHR,vincreasedvRR
SCDv -v ANSWERv Cellsv =v 1/2v eatenv donutv (v sicklev shaped)v andv clumpv together
RFvofvSCDv-
vANSWERvGeneticsv+vSCDvcrisisv(vstress,vdehydration,vvasoconstriction,vcoldvweather,vinfection,valti
tudevchanges,vstrenuousvexcercisevandvpregnancy)
ExpectedvfindingsvofvSCDv-vANSWERvJaundice,vitching,vhypoxia,vclottingvissues,vandvpain
Interventionsv forv SCDv -v ANSWERv 1.v Elevatev HOB
2. Adminv02
3. Promotevvasodilation
4. HypotonicvIVvsolutionsv250vmL/vxv4vhrs
5. Preventvvasoconstriction
6. Frequentvcirculationvchecksv(v pulses)
7. Monitorvforvinfection
8. ROMvasvtolerated
9. RBCvtransfusionveveryv3-4vmonths
10. MonitorvforvSBDv(vulcers)
11. Painv Managementv (v opioids)
,Teachingv forv SCDv -v ANSWERv 1.v Increasev fluidv intake
2. S/vsxvofvinfectionvandvprevention
, 3. GeneticvCounseling
4. Propervclothing
5. Immunizations
6. Avoidvlargevclouds
PrioritiesvduringvSCDvcrisisv-vANSWERv1.vHydrating
2. Perfusion
3. Oxygenation
4. Analgesia
IronvdeficiencyvAnemiavs/vsxv-
vANSWERvGeneralvanemiavs/vsxv+vfissuresvinvcornervofvmouth,vspoonvnails,vandvpica
IronvdeficiencyvAnemiav-
vANSWERvDuevtovlossvofvbloodvflowvresultingvin vhypoxiavorvduevtovpoorvdietaryvintake vofviron
Interventionsvforvironvdeficiencyvanemiav-vANSWERv1.vAdminv02
2. Elevatev hob
3. Promotevfoodvsourcesv+vroutinevironvsupplementvintake
4. CorrectvGIvbleedvifvassociated
5. Consultationsv:vGI,vsocialvworker,vdietician
Ironvdeficiencyvanemiavprioritiesv-vANSWERv1.vDeterminevunderlyingvcause
2. Treatvproblem
3. Preventvproblemvfromvoccurring
