Cellular Regulation

What would be the highest priority when caring for 7yo with sickle cell crisis?

• Administer prophylactic antibiotics

• Initiate IV fluids to maintain hydration

• Insist client rest rather than read a book

• Insert urinary catheter to assist in measuring accurate output

A 5yo gets blood transfusions every 4 weeks as treatment for β-thalassemia. Which indicates desired response to treatment?

• Ability to play soccer

• Hgb level of 6.0 g/dL

• Decreased appetite

• Frequent napping

Tags

NGSS.HS-LS1-3

A patient with Folic acid deficiency anemia should be encourage to eat more:

• Squash

• Carrots

• Spinach

• Apricots

Your patient is weak, dyspneic, & jaundiced. Bilirubin is high on labs. With which problem are these findings consistent?

• Hemolytic anemia

• Pernicious anemia

• Hypovolemic shock

• Hemophilia

Which is NOT a good nutritional source of iron?

• Baked Beans

• Spinach

• Beef Liver

• Milk

If both parents are positive for sickle cell trait, what are chances that their children will have sickle cell disease?

• Only 1 of her children will have sickle cell disease

• Each pregnancy has 25% chance of child being affected.

• If she has 4 children, 1 will have disease.

• Only male children will be affected.

Tags

NGSS.HS-LS3-1

NGSS.HS-LS3-2

NGSS.HS-LS3-3

Which would NOT be important to include in teaching plan when discharging a patient with aplastic anemia?

• Take your iron w/ food and decrease amount of green, leafy veggies consumed

• Monitor for signs of infection.

• Notify your MD if you begin to experience frequent bruising.

• Rest and supplemental O2 may be required for dyspnea.

A patient is experiencing sickle cell crisis during labor and delivery. What is the best nursing action?

• Insert foley and monitor urine output hourly.

• Prepare for intubation and ventilation

• Maintain IV fluid infusion and assess adequacy of hydration.

• Provide continuous sedation for pain relief.

What will the RN include in teaching for mother of a child newly diagnosed with sickle cell anemia and crisis?

• It results from altered metabolism and dehydration.

• Increased bilirubin levels cause hypertension.

• There are decreased clotting factors.

• Tissue hypoxia and vascular occlusion cause primary problems.

Which patient is most likely to have iron deficiency anemia?

• A toddler whose primary nutritional intake is milk

• One with peptic ulcer who had surgery 6 weeks ago

• A 15yo in sickle cell crisis

• One with cancer, receiving weekly radiation therapy