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N4410 Exam- Questions with complete solutions

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N4410 Exam- Questions with complete solutions

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N4410 Exam- Questions with complete solutions
Risk factors for Ewing Sarcoma?

- White Race

- Common in boys than girls

- More than 50% are between ages 10-20

Home care education to parents with children diagnosed with hemophilia?

Children and adolescents with severe hemophilia can participate in non-contact sports such as

swimming or jogging.

- Close supervision and safe environment

- Dental procedures in controlled sitation

- Shave only with electric razor

- If superficial bleeding, apply 15 min pressure and ice

- If significant bleeding, transfuse for factor replacement

Explain Hemophilia?

The inheritance pattern is demonstrated as X-linked recessive in which blood clotting factors is

deficient.

To minimize joint injury - provide IV infusion of factor VIII concentrates.

Child with hemophilia will have abnormal PTT.

- What measures can be taken for a bleeding episode? DDVAP (IV, causes 204 time increase in

factor VIII activity, used for mild hemophilia).

- Replace missing clotting factors.

, - Transfusions (at home with prompt intervention to decrease complications and following major

or minor hemorrhages).

Explain ITP. Family education on care at home for a child with ITP (Idiopathic

thrombocytopenia purport)?

Caused by excessive destruction of platelet.

- Child with ITP should not participate in any contact sports, bike riding, skate boarding, inline

skating, gymnastics, climbing, or running.

- Parents are encouraged to engage their children in quiet activities and to prevent any injuries to

the child's head (e.g. by having the child wear protective gear).

- Call HCP if any bleeding, bruising, petechia, hematuria, headache, confusion, stiff neck, and

vision change occur.

- Intravenous administration of anti-D antibody.

How to administer G tube medications?

The medication should be crushed and mixed in small amount of water as not to clog up the g-

tube.

- Flush g-tube with water after medication administration to clear the tube.

- Position the patient on the right side during and after the feeding.

Foods contraindicated in children with latex allergies?

Banana, avocado, kiwi, chestnuts, and milk.

- Anaphylactic shock can occur with latex injury.

Causes of hydrocephalus?

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