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Nur 211 Exam 3 Review Questions and Correct Answers
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Sickle cell anemia predisposition African american Central africa The near east Mediterranean Aboriginals Hispanics (caribbean, central and south america) Sickle cell anemia clinical manifestations Fatigue Weakness Pain Swelling Tachycardia Murmur Enlargement of bones in face and skull Sickle cel...

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  • 11 de septiembre de 2024
  • 12
  • 2024/2025
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  • nur 211 exam 3 review questions and correct answer
  • sickle cell anemia predisposition african america
  • sickle cell anemia clinical manifestations fatigu

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Nur 211 Exam 3 Review Questions and
Correct Answers
Sickle cell anemia predisposition ✅African american
Central africa
The near east
Mediterranean
Aboriginals
Hispanics (caribbean, central and south america)

Sickle cell anemia clinical manifestations ✅Fatigue
Weakness
Pain
Swelling
Tachycardia
Murmur
Enlargement of bones in face and skull

Sickle cell how to diagnosis ✅CBC - low hematocrit
Hgb electrophoresis

What is sickle cell acute Vaso-occlusive crisis? ✅Very painful, rbc and WBC
entrapment causing tissue hypoxia, inflammation, and necrosis due to inadequate blood
flow

What is sickle cell aplastic crisis? ✅Due to parvovirus, rapid fall in HgB were bone
marrow cannot compensate

What is sickle cell sequestration crisis? ✅Other organs (specifically spleen) affected by
pooling of sickle cells

What triggers a sickle cell crisis? ✅Illness
Stress
Alcohol
Dehydration
Cold weather
High altitude

Complications of sickle cell anemia ✅Anemia, Pulmonary hypertension, Acute chest
syndrome, heart/renal failure, CVA/Stroke, infection, leg ulcers, eye damage, substance
abuse

, How do you treat sickle cell anemia? ✅Management of symptoms, therapies (rx,
procedural, supportive)

What are procedural therapies to treat sickle cell anemia? ✅Hematopoietic stem cell
transplantation, transcranial doppler studies

What RX therapy is used to treat sickle cell anemia? ✅Hydroxyurea
Nsaids
Morphine
Opioids
Antibiotics (pcn)
Corticosteroids

What class of drugs is hydroxyurea to treat sickle cell anemia ✅Antineoplastic

What is the typical dose for sickle cell patients using hydroxyurea? ✅15-35mg/kg/day

How does hydroxyurea work for sickle cell anemia? ✅Increases fetal hgb in children,
decreased number of circulating lymphocytes, decreases pain with crisis

What are the adverse reactions associated with hydroxyurea used for sickle cell
disease? ✅Thrombocytopenia
Leukopenia

What are nursing roles while using hydroxyurea for sickle cell anemia? ✅Monitor CBC,
fevers, do not crush/open, avoid handling, use caution, drink plenty of fluids, avoid
pregnancy

What action does morphine have with sickle cell anemia crisis? ✅Drug of choice.
Relieves pain, dosing individualized, generally given IV during crisis

What side effects does morphine have while using for sickle cell anemia crisis?
✅Sedation, respiratory depression, constipation, urinary retention

What are the supportive therapies used for sickle cell anemia? ✅Blood transfusions,
oxygen, hydration, rest, nutrition

What nursing management/assessment is used for sickle cell anemia? ✅Assess prior
treatment, precipitating factors, assess all body systems (joints, pain, swelling, lung
sounds, o2 says, edema, circulation, LOC, leg ulcers, skin turgid), monitor s/s infection,
I&O for dehydration

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