Examl 4:l NSGl 430/l NSG430l (Latestl 2025/l
2026l Update)l Adultl Healthl Nursingl IIl Reviewl |l Questionsl &l Answers|l Gradel A|l 100%l Correctl (Verifiedl Solutions)-l GCU
Q:l whatl mustl bel presentl forl al diagnosisl ofl SIRS?
Answer:
feverl (abovel 38),l elevatedl WBC,l tachypneal (20l orl more),l tachycardial (90l orl more),l hypocapnial (lowl CO2l lessl thanl 32)
Q:l SIRSl isl progressingl tol multiorganl dysfunctionl syndromel ifl labsl showl what?
Answer:
elevatedl BUNl andl Cr,l troponin,l elevatedl liverl labs,l andl decreasedl urinel output
Q:l whatl isl happeningl inl sicklel celll anemia?
Answer:
RBC'sl arel al distortedl shape,l whichl dol notl carryl oxygenl welll andl diel quicklyl (fatigue).l shapel canl occludel bloodl supply,l causingl ischemia.l occlusivel crisisl causesl painl inl patientl orl clots.l spleenl becomesl overworkedl froml tryingl tol replacel RBCsl andl getsl enlargedl (splenomegaly)
Q:l whatl canl causel al sicklel celll crisis?
Answer:
infection,l stress,l highl altitude,l trauma,l surgery,l highl temps,l anaphylaxis,l dehydration
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Q:l whatl doesl thel nursel givel tol al patientl inl al sicklel celll crisis?
Answer:
oxygen,l painl medsl (PCAl pump),l bedl rest
Q:l givenl thatl al patientl goingl throughl al sicklel celll crisisl hasl anl enlargedl spleen,l theirl immmunityl isl low.l theyl arel alsol atl riskl forl acutel chestl syndromel (pneumonial risk).l whatl isl importantl tol givel sicklel celll patients?
Answer:
vaccines,l makel surel theyl arel upl tol date
Q:l whatl arel somel complicationsl ofl sicklel celll anemia?
Answer:
infection,l pneumonia,l heartl failure,l renall failure,l liverl failure,l hemolyticl crisis
Q:l Whatl isl disseminatedl intravascularl coagulationl (DIC)?
Answer:
abnormall clotsl usel upl clottingl factors,l causingl bleedingl inl otherl placesl ofl thel body
Q:l whatl arel thel causesl ofl DIC?
Answer:
shock,l pregnancy,l malignancy,l bloodl transfusion,l liverl disease,l bloodl infections
Q:l whatl isl freshl frozenl plasma?
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