PN2 Exam 2 Questions and Answers (Graded A), Exams of Nursing

PN2 Exam 2 Questions and
Answers (Graded A), Exams
of Nursing
who carries the hemophilia gene - ANSWER
>>>>>-women/mothers


-can pass on the gene without bleeding problems


-have a 50% chance of passing the hemophilia gene
to their daughters (who then are carriers) and to
their sons (who then have hemophilia)
-X linked recessive trait


-lack of clotting factor VIII or IX


assessment findings with hemophilia - ANSWER
>>>>>-excessive bleeding from minor injuries


-joint & muscle hemorrhages

,-bruise easily


-prolonged/potentially fatal hemorrhage after
surgery


-NOT weakness and NOT lethargic


hemophilia A - ANSWER >>>>>-lack of clotting
factor VIII (antihemophiliac factor)


-80% of hemophilia cases


-affects mostly males
(sons will NOT have hemophilia gene passed, all
daughters will be carriers)


-managed by regular scheduled infusions of
synthetic factor VIII OR infusion of this substance
ONLY when injury or bleeding occurs.

,hemophilia B - ANSWER >>>>>-lack of clotting
factor IX (plasma thromboplastin component)


-20% of hemophilia cases
-normal PT


heart failure - ANSWER >>>>>-common sign in
protein found in urine


-most HF begins in left ventricle, then progresses to
failure of both


-if severe: expectorating pinky/frothy tinged
sputum
*MAJOR sign of life threatening pulmonary edema


labs for heart failure - ANSWER >>>>>-chest xray
(can show enlarged R ventricle&pulm artery)

, -ECG (may mimic signs of MI)


-CBC (may show increase in RBC)


-ABG's (show arterial O2 below 85% and PCO2
elevated)


-heart cath
-neclear stress test


-BNP
<100 = no failure
100-300 = present
300 = mild
600 = moderate
900 = severe


(parenthesis for R-HF)