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Examen

NURS 2356 NEWEST EXAM 2024/2025 WITH DETAILED QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++

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NURS 2356 NEWEST EXAM 2024/2025 WITH DETAILED QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++ NURS 2356 NEWEST EXAM 2024/2025 WITH DETAILED QUESTIONS AND VERIFIED CORRECT ANSWERS/ ALREADY GRADED A++

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Subido en
7 de mayo de 2025
Número de páginas
63
Escrito en
2024/2025
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NURS 2356 NEWEST EXAM 2024/2025 WITH QUESTIONS
AND VERIFIED CORRECT ANSWERS/ ALREAY GRADED A++
red blood cell production is stimulated by: - ANSWER hypoxia

therapeutic management of sickle cell crisis generally includes: - ANSWER
hydration for hemodilution through PO and IV therapy

if a child has nutritional anemia, the nurse will look for: (3) - ANSWER -
pallor.
- tachycardia.
- tachypnea.

therapeutic management of children with B-thalassemia major consists
primarily of: - ANSWER frequent blood transfusions

What kind of cells are associated with phagocytosis: - ANSWER
Neutrophils and monocytes

What kind of cells are associated with allergic reactions: - ANSWER
Eosinophils

What kind of cells are associated with release of histamine or
inflammation/infection: - ANSWER basophil

What types of cells fight viral infections: - ANSWER Lymphocytes: "T and B
cells"

What are the formed elements - ANSWER starts with stem cells:
- WBCs (granulocytes and agranulocytes).
- RBCs (erythrocyte)
- Platelets

normal range for hgb: - ANSWER 11.5-15.5

normal range for hct: - ANSWER 35-45%

normal range for reticulocyte: - ANSWER 0.5-1.5%

normal range for platelet count: - ANSWER 150,000-400,000

,normal range for WBC count:
what is it called when the level drops? what is the patient at risk for? -
ANSWER 4.5-15.5
neutropenia.
risk for infection ↑

how long does a sickle cell RBC last? - ANSWER only 20 days

fetal hgb is good for what? - ANSWER O2

what needs to be checked with iron deficiency anemia and sickle cell
disease? - ANSWER hct.
hgb.
erythrocytes.

What does plasma consist of? - ANSWER 90% Water.
10% Solutes (glucose, protein, immuneglobulins, albumin, e-lytes, clotting
factors).

where is blood formed? - ANSWER bone marrow

bone marrow production in infants: - ANSWER tibia

bone marrow production in toddlers/preschoolers: - ANSWER - femur.
- tibia.

bone marrow production in children over 5 yrs old: - ANSWER pelvis (iliac
crest)

bone marrow production in young adults/adults: (7) - ANSWER *sternum*.
*pelvis*.
ribs.
clavicle.
skull (for thalessemia).
scapula.
vertebra.

complete process which body controls bleeding: - ANSWER hemostasis

,intrinsic hematopoiesis: - ANSWER makes stable clot

who suffers more from osteomyelitis? - ANSWER kids 1-12 yrs old (more
than adults)

condition when RBC and Hgb levels are lower than normal: - ANSWER
anemia

what is iron needed for? - ANSWER O2 transport

*What is the significance of drawing an Absolute Neutrophil Count (ANC)* -
ANSWER *Measuring the amount of Neutrophils in the blood, if low the
person's at risk for a bacterial infection*

*What does a Neutropenic diet consist of? and when would someone be on
one?* - ANSWER *Eat: Canned fruits (from undamaged cans), fruits that
can be washed thoroughly, meats that can be thoroughly cooked, eat pizza
1 hr after delivery; AVOID: yogurt, letus, strawberries, whole black pepper,
deli meat, slurpees, soft served ice-cream; ANC below 500*

What are s&s of Fe deficiency anemia; (5) - ANSWER fatigue.

*p*allor.
*i*rritable.
*t*achypnea.
*t*achycardia.

Why are newborns at greater risk for Fe deficiency anemia? (3) - ANSWER
-Maternal Fe deficiency, full-term infants have maternal stores until 6-9
months (then s/s occur).
-no Fe supplementation in formula or diet.
-giving cows milk before 12 months (cause allergies/GI blood loss).

sources of iron in a diet: (5) - ANSWER green leafy veg.
egg yolk.
dry beans.
red meat.
prunes.

, tips for administering iron to children: (5) - ANSWER - drink with citrus juice
[↑ absorption].
- can stain teeth [use straw or place a back of mouth].
- give inbetween meals [↑absorption].
- compliance: dark green/black stool.
- constipation or N/V.

How would Fe deficiency anemia be diagnosed: (5) - ANSWER - H&H.
- *Reticulocyte count* [normal or slightly low].
- *RBC count* [low = pale&small].
- *Serum Iron Concentration* [circulating Fe count] SIC.
- *Total Iron-binding Capacity (TIBC)* [amount of transferin necessary for
transfer of Fe in blood].

What's the treatment of Fe deficiency anemia? - ANSWER - Fe
supplementation which can be in formula/cereal (Fer-In-Sol).
- Folic acid for RBC production.

What times in life would Fe deficiency be likely to occur? - ANSWER
During growth spurts: infancy and puberty

What vitamin should be given with Fe to increase absorption - ANSWER
Vitamin C (orange juice)

What mineral should you avoid when administering Fe supplements? -
ANSWER Calcium (milk)

When would a child dx w/Fe Deficiency Anemia come back for a repeat
blood test and what would they look for? - ANSWER 1 week.
- reticulocyte/Hgb count should be elevated.
-more energy.

toxic condition caused by ingestion/inhalation of lead or lead containing
compounds: - ANSWER lead poisoning

sources of lead used with Mexican remedies/food: (3) - ANSWER
*t*amarindo [fruit candy].
*a*zarcon [orange digestive powder].
*g*reta [yellow/orange digestive powder].
....powders on body or food.
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