Nur 3490 Exam 2 - Set 3
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1. Pertussis: 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
2. Pertussis Assessment: 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.
3. Pertussis Vaccine: Vaccine given at 2 months!
First dose: 2 months
Second dose: 4 months
Third dose: 6 months
Fourth dose: 15 months
4. Sickle cell: Features in having an abnormal shape causing decreased O2 carrying ability
Increased blood viscosity
Obstructing blood flow that results in hypoxia
5. Nurse Katriz is planning a client education program for sickle cell disease
(SCD); what topics should be included in the plan of care?: Proper hand washing and
infection avoidance
6. Sickle cell disease (SCD) primarily affects:: Both African descent and Hispanics of Caribbean
ancestry and Middle-Eastern and Indian descent
7. Sickle Cell Disease (SCD) genetics: Sickle cell anemia (SCD) is an inherited disorder of the hemo-
globin 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
8. Virtually all of the major symptoms of sickle cell anemia are the direct result
of ..............: the abnormally shaped sickled red blood cells obstructing the flow of blood.
9. The contemporary treatment of sickle cell anemia is focused primarily toward
.............: managing the individual features of the illness as they occur.
10. In children diagnosed with sickle cell disease (SCD), tissue damage results
from which of the following?: Local tissue damage with ischemia and necrosis due to obstructed
circulation
1/7
, Nur 3490 Exam 2 - Set 3
Study online at https://quizlet.com/_i17q5q
11. 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 inter-
ventions for this patient at this time?: 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
12. Sickle Cell Crisis Interventions: 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).
- PCA ordered!!!!
13. You're educating the parents of a 12 year-old, who was recently treated for
sickle cell crisis, on ways to prevent further sickle cell crises in the further. Which
statement by the parents demonstrates they understood your instructions?: -
"We will avoid traveling to high altitude locations."
-Avoid:
-- Altitude changes
-- Extreme temps
-- Stress
-- Alcohol
14. Von Willebrand disease (VWD): A blood disorder in which the blood does not clot properly.
-A bleeding disorder caused by low levels of clotting protein in the blood.
Blood contains many proteins that help the body stop bleeding.
-One of these proteins is called von Willebrand factor (VWF).
15. von Willebrand S/S: Symptoms may include recurrent and prolonged nosebleeds, bleeding from the
gums, increased menstrual flow, and excessive bleeding from a cut.
16. Von Willebrand Tx: Treatment focuses on stopping or preventing bleeding episodes, typically by using
medications.
2/7
Study online at https://quizlet.com/_i17q5q
1. Pertussis: 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
2. Pertussis Assessment: 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.
3. Pertussis Vaccine: Vaccine given at 2 months!
First dose: 2 months
Second dose: 4 months
Third dose: 6 months
Fourth dose: 15 months
4. Sickle cell: Features in having an abnormal shape causing decreased O2 carrying ability
Increased blood viscosity
Obstructing blood flow that results in hypoxia
5. Nurse Katriz is planning a client education program for sickle cell disease
(SCD); what topics should be included in the plan of care?: Proper hand washing and
infection avoidance
6. Sickle cell disease (SCD) primarily affects:: Both African descent and Hispanics of Caribbean
ancestry and Middle-Eastern and Indian descent
7. Sickle Cell Disease (SCD) genetics: Sickle cell anemia (SCD) is an inherited disorder of the hemo-
globin 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
8. Virtually all of the major symptoms of sickle cell anemia are the direct result
of ..............: the abnormally shaped sickled red blood cells obstructing the flow of blood.
9. The contemporary treatment of sickle cell anemia is focused primarily toward
.............: managing the individual features of the illness as they occur.
10. In children diagnosed with sickle cell disease (SCD), tissue damage results
from which of the following?: Local tissue damage with ischemia and necrosis due to obstructed
circulation
1/7
, Nur 3490 Exam 2 - Set 3
Study online at https://quizlet.com/_i17q5q
11. 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 inter-
ventions for this patient at this time?: 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
12. Sickle Cell Crisis Interventions: 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).
- PCA ordered!!!!
13. You're educating the parents of a 12 year-old, who was recently treated for
sickle cell crisis, on ways to prevent further sickle cell crises in the further. Which
statement by the parents demonstrates they understood your instructions?: -
"We will avoid traveling to high altitude locations."
-Avoid:
-- Altitude changes
-- Extreme temps
-- Stress
-- Alcohol
14. Von Willebrand disease (VWD): A blood disorder in which the blood does not clot properly.
-A bleeding disorder caused by low levels of clotting protein in the blood.
Blood contains many proteins that help the body stop bleeding.
-One of these proteins is called von Willebrand factor (VWF).
15. von Willebrand S/S: Symptoms may include recurrent and prolonged nosebleeds, bleeding from the
gums, increased menstrual flow, and excessive bleeding from a cut.
16. Von Willebrand Tx: Treatment focuses on stopping or preventing bleeding episodes, typically by using
medications.
2/7
