Nur 3490 Exam 2 - Set 3-Questions Fully
Solved.
Pertussis - 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 - 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 - Answer Vaccine given at 2 months!
First dose: 2 months
Second dose: 4 months
Third dose: 6 months
Fourth dose: 15 months
Sickle cell - 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? - Answer Proper hand washing and infection avoidance
Sickle cell disease (SCD) primarily affects: - Answer Both African descent and Hispanics of
Caribbean ancestry and Middle-Eastern and Indian descent
Sickle Cell Disease (SCD) genetics - 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 .............. -
Answer the abnormally shaped sickled red blood cells obstructing the flow of blood.
The contemporary treatment of sickle cell anemia is focused primarily toward ............. - 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? - 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? - 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 - 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).
- PCA ordered!!!!
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? - Answer "We will avoid traveling to high
altitude locations."
-Avoid:
-- Altitude changes
-- Extreme temps
-- Stress
-- Alcohol
Von Willebrand disease (VWD) - Answer A blood disorder in which the blood does not clot
properly.
Solved.
Pertussis - 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 - 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 - Answer Vaccine given at 2 months!
First dose: 2 months
Second dose: 4 months
Third dose: 6 months
Fourth dose: 15 months
Sickle cell - 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? - Answer Proper hand washing and infection avoidance
Sickle cell disease (SCD) primarily affects: - Answer Both African descent and Hispanics of
Caribbean ancestry and Middle-Eastern and Indian descent
Sickle Cell Disease (SCD) genetics - 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 .............. -
Answer the abnormally shaped sickled red blood cells obstructing the flow of blood.
The contemporary treatment of sickle cell anemia is focused primarily toward ............. - 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? - 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? - 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 - 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).
- PCA ordered!!!!
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? - Answer "We will avoid traveling to high
altitude locations."
-Avoid:
-- Altitude changes
-- Extreme temps
-- Stress
-- Alcohol
Von Willebrand disease (VWD) - Answer A blood disorder in which the blood does not clot
properly.
