NUR254 Exam 4 Questions And Verified Solutions | Explained Answers | Verified Questions || 100% Pass

NUR254 Exam 4 Questions And Verified Solutions | Explained Answers | Verified Questions || 100% Pass .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 NI: s/s of chemo, skin care radiation, loose clothing, cool temps, wrap stump, stump elevation (24hrs) .Ewing Sarcoma - Answer-- **long and trunk bones most common** - minimal s/s Tx: surgery, radiation, chemo, possible amputation NI: s/s of chemo, skin care radiation, loose clothing, cool temps, wrap stump, stump elevation (24hrs) .Wilms tumor (nephroblastoma) - Answer-- Most common kidney tumor in children s/s: painless mass, firm non-tender, discovered during general care Tx: removal of tumor, chemo, radiation NI: monitor I&O, infection, pain, hydration, bowel function, kidney function **DO NOT PALPATE** .Retinoblastoma - Answer-- in the retina s/s: white glow in pupil, strabismus, blindness Tx: remove tumor, chemo, irradiation, cryotherapy, photocoagulation NI: show pictures, sphere in eye, eye patch, clean eye, prosthetic, .InterCranial Pressure (ICP) - Answer-s/s: change in personality (school age), bulging fontanels (infant), high pitched cry, lethargy, headache, projectile vomiting, inability to follow simple commands Tx: drains, surgery