NUR254 Exam 4 Questions And
Verified Solutions
\.iron deficiency anemia - Answer-SXS: lethargic, pallor, increased bleeding, murmur,
(tachycardia), cyanosis, polycythemia, PICA
Tx: iron rich diet, supplements
NI: cbc, coagulation, food diary, fix underlying cause, maintain o2, hydration, tx
infection/bleeding, **avoid with dairy, take with citrus**
**most common**
\.sickle cell anemia - Answer-s/s: hypoxia, splenomegaly, pain, retinopathy, CVA, chest pain,
Tx: IV, blood, abx, rest, pain meds
NI: rest, hydrate, oxygenate, abx, electrolyte imbalance, avoid stress/infection, pain mgmt,
education
**HA, SOB, FEVER**
\.Hemophilia - Answer-SXS: pallor, fatigue, weakness, cool skin, tachycardia, decreased
peripheral pulse, low BP, bruising
Tx: platelets, desmopressin, amniocaproic acid, **replace factors**
NI: prevent bleeding, **RICE**, avoid things that can cause harm(move tables), avoid sports,
dental hygiene
\.Food rich in iron - Answer-- red meat
, - tuna/ salmon
- eggs
- tofu
- grains
- dried beans, peas, and fruit
- leafy greens
- iron fortified cereals
\.Lukemia ALL/ AML - Answer-- proliferation of immature WBC (bands)
S/S: infections, pain, fractures, anemia, bleeding, cell starvation, hematomas, pallor
Tx: chemo
NI: monitor cbc, **reverse isolation, AVOID FRESH fruits, veggies, flowers, no invasive**
**nutropenia**
**STERILE**
\.Neuroblastoma - Answer-**primary site is abd**
s/s: firm non-tinder mass, resp obstruction, periorbital edema
Tx: removal of tumor, chemo, radiation
NI: monitor I&O, infection, pain, hydration, bowel function
Younger= better survival
**DO NOT PALPATE**
\.Osteogenic Sarcoma - Answer-- **mostly in the LE/ near growth plate**
S/S: pain, limping, mass, swelling, fever
Tx: surgery, radiation, chemo, possible amputation
Verified Solutions
\.iron deficiency anemia - Answer-SXS: lethargic, pallor, increased bleeding, murmur,
(tachycardia), cyanosis, polycythemia, PICA
Tx: iron rich diet, supplements
NI: cbc, coagulation, food diary, fix underlying cause, maintain o2, hydration, tx
infection/bleeding, **avoid with dairy, take with citrus**
**most common**
\.sickle cell anemia - Answer-s/s: hypoxia, splenomegaly, pain, retinopathy, CVA, chest pain,
Tx: IV, blood, abx, rest, pain meds
NI: rest, hydrate, oxygenate, abx, electrolyte imbalance, avoid stress/infection, pain mgmt,
education
**HA, SOB, FEVER**
\.Hemophilia - Answer-SXS: pallor, fatigue, weakness, cool skin, tachycardia, decreased
peripheral pulse, low BP, bruising
Tx: platelets, desmopressin, amniocaproic acid, **replace factors**
NI: prevent bleeding, **RICE**, avoid things that can cause harm(move tables), avoid sports,
dental hygiene
\.Food rich in iron - Answer-- red meat
, - tuna/ salmon
- eggs
- tofu
- grains
- dried beans, peas, and fruit
- leafy greens
- iron fortified cereals
\.Lukemia ALL/ AML - Answer-- proliferation of immature WBC (bands)
S/S: infections, pain, fractures, anemia, bleeding, cell starvation, hematomas, pallor
Tx: chemo
NI: monitor cbc, **reverse isolation, AVOID FRESH fruits, veggies, flowers, no invasive**
**nutropenia**
**STERILE**
\.Neuroblastoma - Answer-**primary site is abd**
s/s: firm non-tinder mass, resp obstruction, periorbital edema
Tx: removal of tumor, chemo, radiation
NI: monitor I&O, infection, pain, hydration, bowel function
Younger= better survival
**DO NOT PALPATE**
\.Osteogenic Sarcoma - Answer-- **mostly in the LE/ near growth plate**
S/S: pain, limping, mass, swelling, fever
Tx: surgery, radiation, chemo, possible amputation
