Nur 3490 Exam 2 - Set 3 ACTUAL
QUESTIONS AND CORRECT ANSWERS
Pertussis - CORRECT ANSWER Also known as whooping cough, is a highly
contagious respiratory disease. It is caused by the bacterium Bordetella pertussis
This repository disease is known for uncontrollable, violent coughing which often makes it
hard to breathe
Pertussis Assessment - CORRECT ANSWER Airway patency. Maintaining patent
airway is always the first priority.
Auscultation. Auscultate lungs for presence of normal or adventitious breath sounds.
Respirations. Assess respirations, note quality, rate, pattern, depth, flaring of nostrils, dyspnea
on exertion, evidence of splinting, use of accessory muscles, and position for breathing.
Pertussis Vaccine - CORRECT ANSWER Vaccine given at 2 months!
First dose: 2 months
Second dose: 4 months
Third dose: 6 months
Fourth dose: 15 months
Sickle cell - CORRECT ANSWER Features in having an abnormal shape causing
decreased O2 carrying ability
Increased blood viscosity
Obstructing blood flow that results in hypoxia
Nurse Katriz is planning a client education program for sickle cell disease (SCD); what topics
should be included in the plan of care? - CORRECT ANSWER Proper hand washing
and infection avoidance
Sickle cell disease (SCD) primarily affects: - CORRECT ANSWER Both African
descent and Hispanics of Caribbean ancestry and Middle-Eastern and Indian descent
, Sickle Cell Disease (SCD) genetics - CORRECT ANSWER Sickle cell anemia (SCD)
is an inherited disorder of the hemoglobin in blood.
Sickle cell anemia requires the inheritance of two sickle cell genes.
Sickle cell trait, which is the inheritance of one sickle gene, almost never causes problems
Virtually all of the major symptoms of sickle cell anemia are the direct result of .............. -
CORRECT ANSWER the abnormally shaped sickled red blood cells obstructing the
flow of blood.
The contemporary treatment of sickle cell anemia is focused primarily toward ............. -
CORRECT ANSWER managing the individual features of the illness as they occur.
In children diagnosed with sickle cell disease (SCD), tissue damage results from which of the
following? - CORRECT ANSWER Local tissue damage with ischemia and necrosis
due to obstructed circulation
A 6 year-old is admitted with sickle cell crisis. The patient has a FACE scale rating of 10 and
the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature
101.4'F. Select all the appropriate nursing interventions for this patient at this time? -
CORRECT ANSWER Administer IV Morphine per MD order
Administer oxygen per MD order
Start intravenous fluids per MD order
Keep patient on bed rest
Remove restrictive clothing or objects from the patient
Sickle Cell Crisis Interventions - CORRECT ANSWER To help alleviate the RBCs
from clumping together and sickling, oxygen and hydration are priority.
-This will help dilute the blood (hence decrease the sticking of RBCs) and help supply
oxygen to the RBCs (remember abnormal RBCs with hemoglobin S are very sensitive to low
oxygen levels and will sickle when there is low oxygen).
In addition, pain needs to be addressed. Opioid medication is the best on a scheduled basis
rather than PRN (as needed).
QUESTIONS AND CORRECT ANSWERS
Pertussis - CORRECT ANSWER Also known as whooping cough, is a highly
contagious respiratory disease. It is caused by the bacterium Bordetella pertussis
This repository disease is known for uncontrollable, violent coughing which often makes it
hard to breathe
Pertussis Assessment - CORRECT ANSWER Airway patency. Maintaining patent
airway is always the first priority.
Auscultation. Auscultate lungs for presence of normal or adventitious breath sounds.
Respirations. Assess respirations, note quality, rate, pattern, depth, flaring of nostrils, dyspnea
on exertion, evidence of splinting, use of accessory muscles, and position for breathing.
Pertussis Vaccine - CORRECT ANSWER Vaccine given at 2 months!
First dose: 2 months
Second dose: 4 months
Third dose: 6 months
Fourth dose: 15 months
Sickle cell - CORRECT ANSWER Features in having an abnormal shape causing
decreased O2 carrying ability
Increased blood viscosity
Obstructing blood flow that results in hypoxia
Nurse Katriz is planning a client education program for sickle cell disease (SCD); what topics
should be included in the plan of care? - CORRECT ANSWER Proper hand washing
and infection avoidance
Sickle cell disease (SCD) primarily affects: - CORRECT ANSWER Both African
descent and Hispanics of Caribbean ancestry and Middle-Eastern and Indian descent
, Sickle Cell Disease (SCD) genetics - CORRECT ANSWER Sickle cell anemia (SCD)
is an inherited disorder of the hemoglobin in blood.
Sickle cell anemia requires the inheritance of two sickle cell genes.
Sickle cell trait, which is the inheritance of one sickle gene, almost never causes problems
Virtually all of the major symptoms of sickle cell anemia are the direct result of .............. -
CORRECT ANSWER the abnormally shaped sickled red blood cells obstructing the
flow of blood.
The contemporary treatment of sickle cell anemia is focused primarily toward ............. -
CORRECT ANSWER managing the individual features of the illness as they occur.
In children diagnosed with sickle cell disease (SCD), tissue damage results from which of the
following? - CORRECT ANSWER Local tissue damage with ischemia and necrosis
due to obstructed circulation
A 6 year-old is admitted with sickle cell crisis. The patient has a FACE scale rating of 10 and
the following vital signs: HR 115, BP 120/82, RR 18, oxygen saturation 91%, temperature
101.4'F. Select all the appropriate nursing interventions for this patient at this time? -
CORRECT ANSWER Administer IV Morphine per MD order
Administer oxygen per MD order
Start intravenous fluids per MD order
Keep patient on bed rest
Remove restrictive clothing or objects from the patient
Sickle Cell Crisis Interventions - CORRECT ANSWER To help alleviate the RBCs
from clumping together and sickling, oxygen and hydration are priority.
-This will help dilute the blood (hence decrease the sticking of RBCs) and help supply
oxygen to the RBCs (remember abnormal RBCs with hemoglobin S are very sensitive to low
oxygen levels and will sickle when there is low oxygen).
In addition, pain needs to be addressed. Opioid medication is the best on a scheduled basis
rather than PRN (as needed).
