NUR 254 Exam 4 questions with answers
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Iron deficiency Anemia:Etiology/Diagnostics - CORRECT
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ANSWERS ✔✔inadequate amount of iron, children 12-36
|\ |\ |\ |\ |\ |\ |\
months at risk |\ |\
Iron deficiency Anemia: S/S - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\
tachy
-can be underweight or overweight
|\ |\ |\ |\
Iron deficiency Anemia: treatment - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔-Iron rich foods (green leafy), supplements, dietary
|\ |\ |\ |\ |\ |\ |\
supplements, organ meats, rice cereal at 6 months, |\ |\ |\ |\ |\ |\ |\
Iron deficiency Anemia: Teaching - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔- No cow's milk until the baby is 1 years old
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
-NO iron supplements with milk, give on empty stomach
|\ |\ |\ |\ |\ |\ |\ |\ |\
acid makes it absorb beer*
|\ |\ |\ |\ |\
o Liquid supplement can stain teach, use straw or regular
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
iron supplement capsule/pill
|\ |\ |\
o Black tarry green stools
|\ |\ |\ |\ |\
o Keep away from children, never keep more than a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
month supply at home
|\ |\ |\ |\
,o Infants 30 mins before on empty, older child with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
something citric for the acid* |\ |\ |\ |\ |\
o Dietary counseling
|\ |\
Sickle Cell Anemia: Important* - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Prevent Dehydration |\
Sickle Cell Anemia: Etiology/Diagnostics - CORRECT
|\ |\ |\ |\ |\ |\
ANSWERS ✔✔-Hereditary, Autosomal recessive trait.
|\ |\ |\ |\ |\
-Cells are sickle shaped. -Repetitive decrease in 02 cell
|\ |\ |\ |\ |\ |\ |\ |\ |\
walls become rigid.
|\ |\ |\
-Cells are getting jammed, causing an obstruction of
|\ |\ |\ |\ |\ |\ |\ |\
RBC's, resulting in PAIN.
|\ |\ |\ |\
-The normal HGB is replaced with abnormal HGB.
|\ |\ |\ |\ |\ |\ |\ |\
-Effects the spleen. |\ |\ |\
o Organ that's mostly effected is the spleen*
|\ |\ |\ |\ |\ |\ |\ |\
o Newborn Screening in the US
|\ |\ |\ |\ |\
Sickle Cell Anemia: S/S - CORRECT ANSWERS ✔✔o
|\ |\ |\ |\ |\ |\ |\ |\
Vascular inflammation |\ |\
o Pain-> severe abdominal pain or chest. Mid to severe
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from 1 min-days -> crisis
|\ |\ |\ |\ |\
o Stroke -> Severe unrelieved headache**
|\ |\ |\ |\ |\ |\
o Painful Swelling: hands, feet, joint pain
|\ |\ |\ |\ |\ |\ |\
,o Headache. Doesn't go away with meds? Possible CVA.
|\ |\ |\ |\ |\ |\ |\ |\ |\
EMERGENCY* |\
o One CVA? R/F another** (stroke)
|\ |\ |\ |\ |\ |\
o Visual disturbances
|\ |\ |\
o Obstructive jaundice
|\ |\ |\
o Fever 101.3 or higher
|\ |\ |\ |\ |\
o Severe hypoxia
|\ |\
Sickle Cell Anemia: VASOCCLUSIVE Crisis - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔-: Acute chest syndrome |\ |\ |\ |\
-mimics pneumonia "painful episode"
|\ |\ |\
Sickle Cell Anemia: Splenic Sequestration - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔-Pooling of blood in the spleen
|\ |\ |\ |\ |\ |\
-Causes infection, stress, dehydration, *USE IV FLUIDS***
|\ |\ |\ |\ |\ |\
-trauma
Sickle Cell Anemia: treatment - CORRECT ANSWERS ✔✔o
|\ |\ |\ |\ |\ |\ |\ |\
DON'T over oxygenate o Heat
|\ |\ |\ |\ |\
o Prophylactic antibiotics: R/F infection* Preventing
|\ |\ |\ |\ |\ |\
Infection* ( Vaccines, Anbiocs (PCN))
|\ |\ |\ |\ |\
o If they've had a stroke, every 3-4 weeks for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
transfusions* to prevent CVA |\ |\ |\ |\
o Decrease 02 demands
|\ |\ |\ |\
, o Oral/IV hydration, Oral at home to prevent
|\ |\ |\ |\ |\ |\ |\ |\
hospitalization |\
o Splenectomy (severe)
|\ |\ |\
o Stem cell Transplant: considered curative (severe)
|\ |\ |\ |\ |\ |\ |\
o Rest
|\ |\
o Control Pain: Morphine
|\ |\ |\ |\
o Electrolyte replacement
|\ |\
Sickle Cell Anemia: Teaching - CORRECT ANSWERS ✔✔o
|\ |\ |\ |\ |\ |\ |\ |\
Prevent hydration |\ |\
o Rest
|\ |\
o Improve oxygen but don't over oxygenate
|\ |\ |\ |\ |\ |\
|\ o Educate importance of vaccines
|\ |\ |\ |\ |\
o Know s/s of a stroke
|\ |\ |\ |\ |\
|\ o Child is normal just gets sicker easier
|\ |\ |\ |\ |\ |\ |\
Hemophilia: term - CORRECT ANSWERS ✔✔MIssing |\ |\ |\ |\ |\ |\
clotting factors |\
Hemophilia:Etiology/Diagnostics - CORRECT ANSWERS |\ |\ |\ |\
✔✔Deficiency of factor VIII, produced by the liver, |\ |\ |\ |\ |\ |\ |\ |\
bleeding disorder |\
|\ |\ |\ |\ |\ |\
Iron deficiency Anemia:Etiology/Diagnostics - CORRECT
|\ |\ |\ |\ |\
ANSWERS ✔✔inadequate amount of iron, children 12-36
|\ |\ |\ |\ |\ |\ |\
months at risk |\ |\
Iron deficiency Anemia: S/S - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\
tachy
-can be underweight or overweight
|\ |\ |\ |\
Iron deficiency Anemia: treatment - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔-Iron rich foods (green leafy), supplements, dietary
|\ |\ |\ |\ |\ |\ |\
supplements, organ meats, rice cereal at 6 months, |\ |\ |\ |\ |\ |\ |\
Iron deficiency Anemia: Teaching - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔- No cow's milk until the baby is 1 years old
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
-NO iron supplements with milk, give on empty stomach
|\ |\ |\ |\ |\ |\ |\ |\ |\
acid makes it absorb beer*
|\ |\ |\ |\ |\
o Liquid supplement can stain teach, use straw or regular
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
iron supplement capsule/pill
|\ |\ |\
o Black tarry green stools
|\ |\ |\ |\ |\
o Keep away from children, never keep more than a
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
month supply at home
|\ |\ |\ |\
,o Infants 30 mins before on empty, older child with
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
something citric for the acid* |\ |\ |\ |\ |\
o Dietary counseling
|\ |\
Sickle Cell Anemia: Important* - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔Prevent Dehydration |\
Sickle Cell Anemia: Etiology/Diagnostics - CORRECT
|\ |\ |\ |\ |\ |\
ANSWERS ✔✔-Hereditary, Autosomal recessive trait.
|\ |\ |\ |\ |\
-Cells are sickle shaped. -Repetitive decrease in 02 cell
|\ |\ |\ |\ |\ |\ |\ |\ |\
walls become rigid.
|\ |\ |\
-Cells are getting jammed, causing an obstruction of
|\ |\ |\ |\ |\ |\ |\ |\
RBC's, resulting in PAIN.
|\ |\ |\ |\
-The normal HGB is replaced with abnormal HGB.
|\ |\ |\ |\ |\ |\ |\ |\
-Effects the spleen. |\ |\ |\
o Organ that's mostly effected is the spleen*
|\ |\ |\ |\ |\ |\ |\ |\
o Newborn Screening in the US
|\ |\ |\ |\ |\
Sickle Cell Anemia: S/S - CORRECT ANSWERS ✔✔o
|\ |\ |\ |\ |\ |\ |\ |\
Vascular inflammation |\ |\
o Pain-> severe abdominal pain or chest. Mid to severe
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
from 1 min-days -> crisis
|\ |\ |\ |\ |\
o Stroke -> Severe unrelieved headache**
|\ |\ |\ |\ |\ |\
o Painful Swelling: hands, feet, joint pain
|\ |\ |\ |\ |\ |\ |\
,o Headache. Doesn't go away with meds? Possible CVA.
|\ |\ |\ |\ |\ |\ |\ |\ |\
EMERGENCY* |\
o One CVA? R/F another** (stroke)
|\ |\ |\ |\ |\ |\
o Visual disturbances
|\ |\ |\
o Obstructive jaundice
|\ |\ |\
o Fever 101.3 or higher
|\ |\ |\ |\ |\
o Severe hypoxia
|\ |\
Sickle Cell Anemia: VASOCCLUSIVE Crisis - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔-: Acute chest syndrome |\ |\ |\ |\
-mimics pneumonia "painful episode"
|\ |\ |\
Sickle Cell Anemia: Splenic Sequestration - CORRECT
|\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔-Pooling of blood in the spleen
|\ |\ |\ |\ |\ |\
-Causes infection, stress, dehydration, *USE IV FLUIDS***
|\ |\ |\ |\ |\ |\
-trauma
Sickle Cell Anemia: treatment - CORRECT ANSWERS ✔✔o
|\ |\ |\ |\ |\ |\ |\ |\
DON'T over oxygenate o Heat
|\ |\ |\ |\ |\
o Prophylactic antibiotics: R/F infection* Preventing
|\ |\ |\ |\ |\ |\
Infection* ( Vaccines, Anbiocs (PCN))
|\ |\ |\ |\ |\
o If they've had a stroke, every 3-4 weeks for
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
transfusions* to prevent CVA |\ |\ |\ |\
o Decrease 02 demands
|\ |\ |\ |\
, o Oral/IV hydration, Oral at home to prevent
|\ |\ |\ |\ |\ |\ |\ |\
hospitalization |\
o Splenectomy (severe)
|\ |\ |\
o Stem cell Transplant: considered curative (severe)
|\ |\ |\ |\ |\ |\ |\
o Rest
|\ |\
o Control Pain: Morphine
|\ |\ |\ |\
o Electrolyte replacement
|\ |\
Sickle Cell Anemia: Teaching - CORRECT ANSWERS ✔✔o
|\ |\ |\ |\ |\ |\ |\ |\
Prevent hydration |\ |\
o Rest
|\ |\
o Improve oxygen but don't over oxygenate
|\ |\ |\ |\ |\ |\
|\ o Educate importance of vaccines
|\ |\ |\ |\ |\
o Know s/s of a stroke
|\ |\ |\ |\ |\
|\ o Child is normal just gets sicker easier
|\ |\ |\ |\ |\ |\ |\
Hemophilia: term - CORRECT ANSWERS ✔✔MIssing |\ |\ |\ |\ |\ |\
clotting factors |\
Hemophilia:Etiology/Diagnostics - CORRECT ANSWERS |\ |\ |\ |\
✔✔Deficiency of factor VIII, produced by the liver, |\ |\ |\ |\ |\ |\ |\ |\
bleeding disorder |\
