NUR 4410 Exam 3 With Correct
Answers
Risk factors for Ewing Sarcoma? - ANSWER - 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? -
ANSWER 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? - ANSWER 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)? - ANSWER 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? - ANSWER 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.
Answers
Risk factors for Ewing Sarcoma? - ANSWER - 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? -
ANSWER 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? - ANSWER 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)? - ANSWER 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? - ANSWER 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.
