NUR 254 Exam 4 Review Questions with
Verified Correct Answers
Hgb Levels
1-6 years- 9.5 to 14
6-18 years- 10 to 15.5
Anemia
Can have a murmur
S/s- Pallor, Fatigue, tachycardia
Check H&H when pale
Decreased immunity
TREAT UNDERLYING CAUSES
Iron Deficiency Anemia
Can stain teeth
Give with Vitamin C on empty stomach
No cows milk until 12 months- GI bleed
Black/green tarry stools
Give to exclusively breastfeed babies by 4 months
vaso-occlusive crisis
Painful episode
If sickle cell patient is in pain &had pain medication but still has a headache...
Call MD
Could be having a stroke needs CT scan
, Sickle Cell Anemia
Can lead to ischemia
Keep hydrated & treat pain
Prophylaxis PCN
Aplastic: caused by viral infection
Sickle Cell Crisis
Hydration
Oxygen
Pain meds
*PCA pump- monitor for respiratory depression
RICE
Rest
Ice
Compression
Elevation
Hemophilia
Factor VIII
Prolonged bleeding, hemorrhage, hemarthrosis
Replace Clotting Factors
Joint pain or swelling- cold compress
NSAID- use cautiously
No contact sports
Verified Correct Answers
Hgb Levels
1-6 years- 9.5 to 14
6-18 years- 10 to 15.5
Anemia
Can have a murmur
S/s- Pallor, Fatigue, tachycardia
Check H&H when pale
Decreased immunity
TREAT UNDERLYING CAUSES
Iron Deficiency Anemia
Can stain teeth
Give with Vitamin C on empty stomach
No cows milk until 12 months- GI bleed
Black/green tarry stools
Give to exclusively breastfeed babies by 4 months
vaso-occlusive crisis
Painful episode
If sickle cell patient is in pain &had pain medication but still has a headache...
Call MD
Could be having a stroke needs CT scan
, Sickle Cell Anemia
Can lead to ischemia
Keep hydrated & treat pain
Prophylaxis PCN
Aplastic: caused by viral infection
Sickle Cell Crisis
Hydration
Oxygen
Pain meds
*PCA pump- monitor for respiratory depression
RICE
Rest
Ice
Compression
Elevation
Hemophilia
Factor VIII
Prolonged bleeding, hemorrhage, hemarthrosis
Replace Clotting Factors
Joint pain or swelling- cold compress
NSAID- use cautiously
No contact sports
