NUR 170 Exam/NUR 170 Exam (Questions and Answers) Graded A+ 100 % Success

NUR 170 Exam/NUR 170 Exam (Questions and Answers)
Graded A+ 100 % Success
What is Sickle Cell Disease? - ✔✔Patients with deformed blood cells allowing them to clump
together resulting in a decrease in oxygen being carried to the blood and tissues



What are the risk factors for Sickle Cell Disease? - ✔✔- Genetic disease

- Commonly seen in African Americans
- Less common in people of Southeast Asia and Mediterranean descent



What are the risk factors for a sickle cell crisis? - ✔✔- Stress

- Dehydration
- Hypoxia
- Vasoconstriction
- Altitude changes
- Pregnancy
- Strenuous exercise
- Infection
- Cold weather



What are the signs and symptoms of a sickle cell crisis? - ✔✔- Liver complications: jaundice and
itching (from bile)
- Spleen complications: abdominal pain, s/s of infection
- Clotting: stroke, heart attack, issues w/ small vessel tissues
- pain
- hypoxia

,What can we do as nurses for sickle cell patients? - ✔✔- If they are hypoxic: elevate HOB and
administer 02
- If they are in pain: morphine, warm compress to the joints, ROM exercises
- Clotting: Increase fluid intake PO or via IV with a hypotonic solution (0.9% normal saline),
increase room temp. above 72 degrees, remove restrictive clothing (NO SCD'S OR TED HOSE),
promote venous return (elevating FOB), perform and monitor pulses frequently, monitor for
lower extremity ulcers (extreme cases)
- Anemic: Blood transfusion
- They are an increases risk for infection: monitor WBC and vitals for fever
- Overall: "HOP to it" (Hydrate, Oxygenate, Pain medications)



Patient teaching for Sickle Cell Disease - ✔✔- Genetic counseling can help in making decisions

- Watch climate
- Increase fluids
- To prevent spread of infection: hand hygiene and immunizations
- monitor for S/S of infection: fever
- monitor for S/S of blood clots: pain, swelling, and tenderness
- Moderate exercise



Blood type A+ - ✔✔Can donate to: A+, AB+

Can receive from: A+, A-, O+, O-



Blood Type O+ - ✔✔You can give blood to: O+, A+, B+, AB+

You can receive blood from: O+, O-



Blood Type B+ - ✔✔You can give blood to: B+, AB+

You can receive blood from: B+, B-, O+, O-

, Blood Type AB+ - ✔✔You can give blood to: AB+

You can receive blood from: EVERYONE



Blood Type A- - ✔✔You can give blood to: A+, A-, AB+. AB-

You can receive blood from: A-, O-



Blood Type O- - ✔✔You can give blood to: EVERYONE
You can receive blood to: O-



Blood Type B- - ✔✔You can give blood to: B+, B-, AB+, AB-

You can receive blood from: B-, O-



Blood Type AB- - ✔✔You can give blood to: B+, B-, AB+, AB-

You can receive blood from: AB-, A-, B-, O-



What is iron deficiency anemia? - ✔✔The loss of blood cells leading to hypoxia and
complications



What are the risk factors for iron deficiency anemia> - ✔✔- More common in women
(menstrual cycle)
- More common in older adults
- Blood loss (GI bleeds)
- Poor intake of iron
- Poor absorption of iron due to GI issues



What are the signs and symptoms of iron deficiency anemia? - ✔✔- SOB
- Fatigue and weakness