What factor contributes to a vaso-occlusive crisis in a child ...

[Collmarie]

What factor contributes to a vaso-occlusive crisis in a child with Sickle Cell anemia?
 
  1. Dehydration
   2. Alkalosis
   3. Infection
   4. Stress

Question 2

You suspect a 14 year old with persistent cough, anorexia, low-grade fever, and night sweats has tuberculosis. What is the most accurate statement about the treatment of this patient?
 
  1. A nurse needs to collect serial sputum cultures in the a.m. and do serial AFB tests.
   2. Latent TB would be treated with antituberculin medication combinations in higher doses for nine months.
   3. Anti-tubercular medications given in higher doses in combination for six months are only effective after BCG vaccine is given.
   4. Active TB is treated with combinations of rifampicin, isoniazid, ethambutol, and streptomycin in higher doses for six months.

[ecox1012]

Answer to Question 1

1
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1. Fluid replacement with IV fluids increases the flow of blood, which decreases tissue hypoxia and the potential for dactylitis.
2. The child may become alkalotic, but this s not the contributing factor to the vaso-occlusive crisis.
3. Infections can cause dehydration, but this is not the leading cause of the vaso-occlusive crisis.
4. Stress is a manageable condition and does not lead to a vas-occlusive crisis.

Answer to Question 2

4
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1. The time of day does not influence when the sample should be taken.
2. Active TB is treated with combinations of rifampicin, isoniazid, ethambutol, and streptomycin in higher doses for six months.
3. Active TB is treated with combinations of rifampicin, isoniazid, ethambutol, and streptomycin in higher doses for six months.
4. Active TB is treated with combinations of rifampicin, isoniazid, ethambutol, and streptomycin in higher doses for six months.