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What is your Crisis?
Haha...That's Malarious!
Back "2" Basics
NCLEXanemia
100
This was the year in which Sickle Cell Anemia was first described by James B. Herrick: A - 1910 B - 1889 C - 1921
What is A 1910? http://www.innvista.com/health/ailments/anemias/sickhist.htm
100
Sickle cell crisis could best be defined as a ______occlusive crisis.
What is vasoocclusive? (p696 Lewis, 2007)
100
This insect is the primary means of Malaria transmission.
What is the mosquito? http://www.buzzle.com/articles/sickle-cell-and-malaria.html
100
Sickled Red Blood Cells become rigid and take on this elongated 2-sided shape.
What is a crescent? (p696 Lewis, 2007)
100
A 14 year old girl has been hospitalized with Sickle Cell Anemia in vasoocclusive crisis. Which of these Nursing diagnoses should receive priority in the Nursing plan of care? -- A. Impaired social interaction -- B. Alteration in body image -- C. Pain -- D. Alteration in tissue perfusion
What is D - Alteration in tissue perfusion? http://enursebook.info/nclex-question-for-sickle-cell-anemia/
200
DOUBLE JEOPARDY! --- Sickle Cell Disease is classified as an autosomal recessive disorder. This would be the percentage a child would have of having Sickle Cell Disease if both parents were CARRIERS of the disease.
What is 25%?
200
This is the primary symptom associated with Sickle Cell Crisis.
What is pain? (p696 Lewis, 2007)
200
Resembling a type of fisherman's equipment used for centuries, these simple devices have been found to reduce malarial infection in children by over 60% and allow for a better nights sleep.
What are mosquito nets?
200
The organ most commonly infarcted by Sickle Cell Anemia, usually occuring by "2" to 4 years of age.
What is the spleen? (p697 Lewis, 2007)
200
A 25-year-old male is admitted in sickle cell crisis. Which of the following interventions would be of highest priority for this client? -- A. Taking hourly blood pressures with mechanical cuff -- B. Encouraging fluid intake of at least 200mL per hour -- C. Position in high Fowler’s with knee gatch raised -- D. Administering Tylenol as ordered
What is B - Encouraging fluid intake. http://www.rnpedia.com/home/exams/nclex-exam/nclex-rn-practice-questions-7 It is important to keep the client in sickle cell crisis hydrated to prevent further sickling of the blood. Answer A is incorrect because a mechanical cuff places too much pressure on the arm. Answer C is incorrect because raising the knee gatch impedes circulation. Answer D is incorrect because Tylenol is too mild an analgesic for the client in crisis.
300
This year marked the first time a child was successfully cured of Sickle Cell Disease after receiving a bone marrow transplant. The oldest that child could be today is 27.
What is 1984? http://sickle.bwh.harvard.edu/scd_history.html
300
Sickle cell crisis can begin suddenly and persist for days to _______.
What are weeks? (p696, Lewis 2007)
300
This TYPE, not name, of organism is the cause of Malaria.
What is a parasite? http://www.buzzle.com/articles/sickle-cell-and-malaria.html
300
This is the most common infection associated with Sickle Cell Disease occuring in these "2" organs located bilaterally within the thorax.
What is pneumonia? (p697 Lewis, 2007)
300
4. Which of the following foods would the nurse encourage the client in sickle cell crisis to eat? -- A. Peaches -- B. Cottage cheese -- C. Popsicles -- D. Lima beans
What is C - Popsicles http://www.rnpedia.com/home/exams/nclex-exam/nclex-rn-practice-questions-7/answer-and-rationale
400
A life threatening condition which may develop as a result of Sickle Cell Crisis.
What is shock? (p696 Lewis, 2007)
400
Roughly one-third of all indigineous inhabitants of this region possess the gene for Sickle Cell Anemia.
What is Sub-Saharn Africa? http://en.wikipedia.org/wiki/Sickle-cell_anemia
500
The first use of the disease term "Sickle Cell Anemia" and the first use of insulin occured during this year.
What is 1922? http://www.innvista.com/health/ailments/anemias/sickhist.htm
500
Children with sickle cell anemia may begin taking the antibiotic penicillin when they're about this age to help prevent infection.
What is 2 months of age? http://www.mayoclinic.com/health/sickle-cell-anemia/DS00324/DSECTION=treatments-and-drugs
500
The male client with sickle cell anemia comes to the emergency room with a temperature of 101.4 F and tells the nurse that he is having a sickle cell crisis. Which diagnostic test should the nurse anticipate the emergency room doctor ordering for the client? -- A. Spinal tap. -- B. Hemoglobin electrophoresis. -- C. Sickle-turbidity test (Sickledex). -- D. Blood cultures.
What is D - Blood cultures? http://enursebook.info/nclex-question-for-sickle-cell-anemia-2/
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