Solutions
warfarin CORRECT ANS-3-5 days to work; given after anticoagulant/
What is sickle cell anemia? CORRECT ANS-RBCs become rigid, sticky, and sickle-shaped.
What is the pathophysiology of sickle cell anemia? CORRECT ANS-RBCs get stuck in small
blood vessels, blocking blood flow and oxygen.
What are the signs and symptoms of sickle cell anemia? CORRECT ANS-Anemia, pain,
fever, swelling, tenderness, HTN, organ damage, and infection.
What is a sickle cell crisis? CORRECT ANS-When sickled cells clog blood flow, causing
sudden and severe pain.
What can trigger a sickle cell crisis? CORRECT ANS-Cold and exercise.
What is the treatment for sickle cell anemia? CORRECT ANS-Pain management and
complication prevention.
, EXAM 2: NURS 611 Questions with Certified
Solutions
What medications and interventions are used for sickle cell anemia? CORRECT ANS-IV
fluids, hydroxyurea, transfusions.
Why is 5% dextrose preferred for IV fluids in sickle cell anemia? CORRECT ANS-Decreased
ability to excrete sodium load in normal saline.
What is hydroxyurea? CORRECT ANS-A medication that makes sickle red blood cells less
sticky.
What is the effect of hydroxyurea in sickle cell anemia? CORRECT ANS-Reduces painful
episodes and decreases complications.
What should be considered when using oxygen therapy in sickle cell anemia? CORRECT
ANS-May suppress the formation of new RBCs.
, EXAM 2: NURS 611 Questions with Certified
Solutions
What is anemia? CORRECT ANS-Lower than normal hemoglobin and fewer than normal
circulating erythrocytes.
What can cause hemolytic anemia? CORRECT ANS-Altered erythropoiesis, drug-induced or
autoimmune processes, or mechanical heart valves.
What is SCD? CORRECT ANS-Inheritance of sickle hemoglobin (HbS) gene causing defective
hemoglobin molecules.
What is thalassemia? CORRECT ANS-Hereditary blood disorder with abnormal or
inadequate hemoglobin production.
What is glucose 6 phosphate dehydrogenase deficiency? CORRECT ANS-Hereditary
condition where RBCs are destroyed when exposed to certain triggers.
What is autoimmune hemolytic anemia? CORRECT ANS-Body destroys RBCs faster than it
produces them.
, EXAM 2: NURS 611 Questions with Certified
Solutions
What is the first line of treatment for sickle cell anemia? CORRECT ANS-Pain management
and complication prevention.
Is there a cure for sickle cell anemia? CORRECT ANS-No, but bone marrow and stem cell
transplants are potential options.
What is the purpose of transfusions in sickle cell anemia? CORRECT ANS-To replace sickled
RBCs with healthy ones.
What is hemochromatosis? CORRECT ANS-Genetic condition with excess iron deposition in
organs.
What are the causes of hypoproliferative anemia? CORRECT ANS-Iron, vitamin B12, or
folate deficiency, decreased erythropoietin production, or cancer.
What is erythropoietin? CORRECT ANS-Hormone required for red blood cell production.