NUR 211 EXAM 3 2025/2026 FINAL EXAM WITH QUESTIONS AND CORRECT
VERIFIED ANSWERS|GUARANTEED A+ PASS
1. clinical manifestations of sickle cell disease: -pallor
Rtyuiop{poiuygb
-fatigue nm<>?#$%^&*()
-jaundice
-irritability
-stroke
-enlarged liver, spleen
-renal insuflciency
-gall stones
-priapism, abdominal pain
-skin ulcers
-aplastic crisis
-PAIN
-fever
-delay in growth (monitor H/W in children)
-infections
-painful erections
-SOB
DUE TO SICKLING OF RBC
VASOOCCLUSIONS COMMON
2. priorities of care for sickle cell disease: -oxygen
-hydration (IV fluids)
-analgesic admin
-antibiotics (prophylactic)
-aggressive antibiotics if infection present
-blood transfusions if needed
-high calories and protein diet
-do they understand the disease
-past crisis/ triggers?
-urine output 0.5ml/kg/hr
-pain 3 or less ABCS!
, NUR 211 EXAM 3 2025/2026 FINAL EXAM WITH QUESTIONS AND CORRECT
VERIFIED ANSWERS|GUARANTEED A+ PASS
HYDROXYUREA: cytotoxic med that decreases the production of abnormal blood cells to help lower pain S/E: bone marrow
Rtyuiop{poiuygb
suppression, headache, dizziness, n/v nm<>?#$%^&*()
3. prevent infection sickle cell disease: -standard precautions
-infection control
-vaccines
-fever pts seen immediately
-parents need to know how to take a childs temperature and how to see early sign of infection
4. triggers and how to prevent crisis SCD: -stress
-hot or cold temperatures
-prevent infections
-avoid dehydration
-avoid high altitudes (lowers O2)
-discourage smoking and alcohol
-pregnant pts
-can last 4-6 days
-swelling of hands and feet
-large joints can be attected
-infarction may attect bone marrow or lead to aseptic necrosis of bones (back, abd, chest)
-ACUTE CHEST SYNDROME:fever, chest pain, high WBC, pulmonary infiltrates
-VERY PAINFUL
5. interventions to treat crisis SCD: -oxygen to prevent hypoxia
-increase IV fluids
-treat underlying trigger
-monitor for enlarged spleen (caused by pooling of blood and can lead to cardio issues) (ANEMIA, HYPOVOLEMIA, AND SHOCK)
6. pain control SCD: -otter pain meds to keep controlled
-easy for pts to get addicted and encourage pts to only use 1 pharmacy
-reassess pain frequently
7. Blood transfusion administration process and reaction management SCD: -stay in room for first 15 mins
VERIFIED ANSWERS|GUARANTEED A+ PASS
1. clinical manifestations of sickle cell disease: -pallor
Rtyuiop{poiuygb
-fatigue nm<>?#$%^&*()
-jaundice
-irritability
-stroke
-enlarged liver, spleen
-renal insuflciency
-gall stones
-priapism, abdominal pain
-skin ulcers
-aplastic crisis
-PAIN
-fever
-delay in growth (monitor H/W in children)
-infections
-painful erections
-SOB
DUE TO SICKLING OF RBC
VASOOCCLUSIONS COMMON
2. priorities of care for sickle cell disease: -oxygen
-hydration (IV fluids)
-analgesic admin
-antibiotics (prophylactic)
-aggressive antibiotics if infection present
-blood transfusions if needed
-high calories and protein diet
-do they understand the disease
-past crisis/ triggers?
-urine output 0.5ml/kg/hr
-pain 3 or less ABCS!
, NUR 211 EXAM 3 2025/2026 FINAL EXAM WITH QUESTIONS AND CORRECT
VERIFIED ANSWERS|GUARANTEED A+ PASS
HYDROXYUREA: cytotoxic med that decreases the production of abnormal blood cells to help lower pain S/E: bone marrow
Rtyuiop{poiuygb
suppression, headache, dizziness, n/v nm<>?#$%^&*()
3. prevent infection sickle cell disease: -standard precautions
-infection control
-vaccines
-fever pts seen immediately
-parents need to know how to take a childs temperature and how to see early sign of infection
4. triggers and how to prevent crisis SCD: -stress
-hot or cold temperatures
-prevent infections
-avoid dehydration
-avoid high altitudes (lowers O2)
-discourage smoking and alcohol
-pregnant pts
-can last 4-6 days
-swelling of hands and feet
-large joints can be attected
-infarction may attect bone marrow or lead to aseptic necrosis of bones (back, abd, chest)
-ACUTE CHEST SYNDROME:fever, chest pain, high WBC, pulmonary infiltrates
-VERY PAINFUL
5. interventions to treat crisis SCD: -oxygen to prevent hypoxia
-increase IV fluids
-treat underlying trigger
-monitor for enlarged spleen (caused by pooling of blood and can lead to cardio issues) (ANEMIA, HYPOVOLEMIA, AND SHOCK)
6. pain control SCD: -otter pain meds to keep controlled
-easy for pts to get addicted and encourage pts to only use 1 pharmacy
-reassess pain frequently
7. Blood transfusion administration process and reaction management SCD: -stay in room for first 15 mins
