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NURS 433 EXAM 3 Questions with Verified Answers
UPDATED!!!
Sickle Cell Anemia - ANSWER a genetic disorder that results in
increased RBC destruction; RBC's become more fragile with
decreased life span; sickled Hgb cells with decreased oxygen
capacity causes vascular occlusion
What factors increase cellular sickling? - ANSWER can be
triggered by stress or traumatic event: hypothermia, fever,
hypoxia, infections, high altitude, surgery, blood loss,
dehydration, acidosis
What medication can be given IV to help with pain for a patient
with sickle cell disease? - ANSWER ketorolac; IV NSAID used to
control pain and help during vaso-occlusive crisis
What medication should not be given for pain in a patient with
sickle cell disease? - ANSWER meperidine (Demerol) is
contraindicated d/t potential negative CNS adverse effects
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Sickle cell crisis - ANSWER acute vaso-occlusive crisis; severe
and painful vessel blockage that results in arthralgia**, swelling
of hands and feet**, bone and abdominal pain, priapism
What are the two priority interventions for a patient
experiencing a vaso-occlusive crisis? - ANSWER hydration
pain control
Leukemia - ANSWER cancer of the blood-forming tissues;
unrestricted proliferation of immature WBC's= abnormal WBC's
that can't fight off infection
anemia and thrombocytopenia can occur
spleen, liver, and lymph nodes become infiltrated and enlarged
CNS at risk for infiltration
What is considerable treatment for leukemia? - ANSWER -
chemo, sanctuary therapy, and triple therapy (CNS prophylaxis)
-pain management
-antiemetics prior to chemo
NURS 433 EXAM 3 Questions with Verified Answers
UPDATED!!!
Sickle Cell Anemia - ANSWER a genetic disorder that results in
increased RBC destruction; RBC's become more fragile with
decreased life span; sickled Hgb cells with decreased oxygen
capacity causes vascular occlusion
What factors increase cellular sickling? - ANSWER can be
triggered by stress or traumatic event: hypothermia, fever,
hypoxia, infections, high altitude, surgery, blood loss,
dehydration, acidosis
What medication can be given IV to help with pain for a patient
with sickle cell disease? - ANSWER ketorolac; IV NSAID used to
control pain and help during vaso-occlusive crisis
What medication should not be given for pain in a patient with
sickle cell disease? - ANSWER meperidine (Demerol) is
contraindicated d/t potential negative CNS adverse effects
, 2|Page
Sickle cell crisis - ANSWER acute vaso-occlusive crisis; severe
and painful vessel blockage that results in arthralgia**, swelling
of hands and feet**, bone and abdominal pain, priapism
What are the two priority interventions for a patient
experiencing a vaso-occlusive crisis? - ANSWER hydration
pain control
Leukemia - ANSWER cancer of the blood-forming tissues;
unrestricted proliferation of immature WBC's= abnormal WBC's
that can't fight off infection
anemia and thrombocytopenia can occur
spleen, liver, and lymph nodes become infiltrated and enlarged
CNS at risk for infiltration
What is considerable treatment for leukemia? - ANSWER -
chemo, sanctuary therapy, and triple therapy (CNS prophylaxis)
-pain management
-antiemetics prior to chemo
