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NUR 2356 FINAL EXAM 2 LATEST VERSIONS 2023 MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM 200+QUESTIONS AND CORRECT ANSWERS

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NUR 2356 FINAL EXAM 2 LATEST VERSIONS 2023 MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM 200+QUESTIONS AND CORRECT ANSWERS

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NUR 2356 FINAL EXAM 2 LATEST VERSIONS 2023 MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL
EXAM 200+QUESTIONS AND CORRECT ANSWERS

Red blood cell production is stimulated by:



1. Tachycardia

2. Tachypnea

3. Renin angiotensin

4. Hypoxia - (answer) Hypoxia



4 Main components of blood composition - (answer) RBC, WBC, platelets, plasma



What is the composition of plasma - (answer) 90% H2O

10% solutes - glucose, protein, albumin, hormones, etc



Where is bone marrow aspiration in infants? - (answer) Tibia



Where is bone marrow aspiration in toddlers and preschoolers? - (answer) femur and tibia



Where is bone marrow aspiration in children over 5? - (answer) pelvis (iliac crest)



Where is bone marrow production in young adults/adults? - (answer) ribs, sternum, vertebra, pelvis,
skull, clavicle, scapula



what is anemia - (answer) a condition in which levels of red blood cells and hemoglobin are lower than
normal



4 types of anemia - (answer) Iron deficiency

lead poisoning

sickle cell

B-thalassemia

,NUR 2356 FINAL EXAM 2 LATEST VERSIONS 2023 MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL
EXAM 200+QUESTIONS AND CORRECT ANSWERS



Define iron deficiency anemia - (answer) reduction in the iron stores of the body causing an
inadequate production of hemoglobin



What is iron needed for? - (answer) to make hgb



signs and symptoms of iron deficiency anemia - (answer) pallor

tachycardia

tachypnea

lethargy

fatigue

irritability



Why are neonates at risk for iron deficiency anemia? - (answer) -lack the maternal iron stores

-Full term infants have maternal iron stores until approximately 6 months of age

-Havent had the time in utero to store up the needed iron supply (preterm)



How can you treat a neonate with iron deficiency anemia? - (answer) Iron fortified formula



What are risk factors for iron deficiency anemia in infants and children? - (answer) 1.inadequate iron
intake

2.Malabsorption of iron in GI tract

3.Chronic blood loss



Food with good sources of iron - (answer) red meat, egg yolk, leafy greens, dried fruits, fortified
cereals/formulas, beef, chicken, fish, beans, nuts, seeds, peanut butter, eggs, prunes, whole grain bread



How is iron deficiency anemia diagnosed? - (answer) Serum lab evaluation:

,NUR 2356 FINAL EXAM 2 LATEST VERSIONS 2023 MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL
EXAM 200+QUESTIONS AND CORRECT ANSWERS

-Red blood cell count = microcytic (small) and hypo chronic (pale in color)

-low hemoglobin

-low hematocrit

-low reticulocyte count

-low serum iron concentration

-high total iron binding capacity



What is the goal of treatment for iron deficiency anemia - (answer) treat medical problem causing
malabsorption or blood loss/ identify cause



What is the treatment method for iron deficiency anemia? - (answer) Increase iron take

~ Dietary sources

~Medication supplement (ferrosol or ferrous sulfate)



What should nurses and parents know about administering iron to children? - (answer) -Administer to
back of mouth because it stains teeth, can cause constipation, and black/green stool

-Give with orange juice or citric acid to help with absorption

-Do not give with milk or antacids

-Give on empty stomach unless GI distress



Lead Poisoning Risks - (answer) -Children under the age of 6

-Children living at or below the poverty line who live in older (prior to 1978) housing

-Children adopted from other countries where there are less strict environmental regulations



Environmental causes of lead poisoning - (answer) -Lead based paint

-Plumbing from lead pipes

-soil

, NUR 2356 FINAL EXAM 2 LATEST VERSIONS 2023 MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL
EXAM 200+QUESTIONS AND CORRECT ANSWERS

Dietary factors of lead poisoning - (answer) -iron deficiency

-calcium deficiency



Patient-child interactions - (answer) -Job or hobby exposure

-home remedies or cultural practices



How does lead poisoning cause anemia - (answer) lead can replace iron on Hgb causing O2 to not be
delivered causing anemia



Clinical manifestation of lead poisoning - (answer) -Asymptomatic

-Signs of anemia

-Growth and developmental lags

-Behavioral changes

-Neurologic changes

-Gastrointestinal changes



can someone be asymptomatic if they have lead poisoning - (answer) yes



signs of anemia (lead poisoning) - (answer) pallor, fatigue, weakness, shortness of breath, headache,
tachycardia - because lead replaces iron in Hgb causing anemia



Growth and developmental lags in lead poisoning - (answer) learning difficulties



Neurologic signs and symptoms of lead poisoning - (answer) -Headache, irritability, difficulty
concentrating, loss of motor skills, paralysis, tremors



High levels: encephalopathy, seizures, and brain damage

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