NUR 2392 NUR2392 Exam 2 Latest 2024 - 2025
Multidimensional Care II MDC 2 - Rasmussen
Clinical manifestation of lead poisoning - Answer--Asymptomatic
-Signs of anemia
-Growth and developmental lags
-Behavioral changes
-Neurologic changes
-Gastrointestinal changes
can someone be asymptomatic if they have lead poisoning - Answer-yes
signs of anemia (lead poisoning) - Answer-pallor, fatigue, weakness, shortness of breath,
headache, tachycardia - because lead replaces iron in Hgb causing anemia
Growth and developmental lags in lead poisoning - Answer-learning difficulties
Neurologic signs and symptoms of lead poisoning - Answer--Headache, irritability, difficulty
concentrating, loss of motor skills, paralysis, tremors
High levels: encephalopathy, seizures, and brain damage
,Gastrointestinal signs and symptoms of lead poisoning - Answer-abdominal pain, failure to
gain weight, weight loss, vomiting, constipation
Lead poisoning diagnostics - Answer-Blood lead level (BBL) test
-5mcg/dL = lead exposure
-45 mcg/dL = medical treatment required with chelation therapy
->70= mcg/dL = severe lead toxicity
Therapeutic management of lead poisoning - Answer--Decontamination
-Chelation
-Supportive therapy
-Deterrence and prevention
How do you decontaminate a person with lead poisoning? - Answer-Xray of GI tract to see
of lead is there. if it is, they flush it out to stop absorption
when to use Chelation therapy for lead poisoning - Answer--45-69 mcg/dL outpatient
therapy with oral succorer and parenteral disodium calcium edetate
->70 Hospitalization with dimercaprol and disodium calcium EDTA
-Monitor urinary output (possibly on 24 hour urine collection)
What do patients who have lead poisoning need in their diet? - Answer-Adequate calcium,
iron, and vitamin C
,signs and symptoms of iron deficiency anemia - Answer-pallor
tachycardia
tachypnea
lethargy
fatigue
irritability
Why are neonates at risk for iron deficiency anemia? - Answer--lack the maternal iron
stores
-Full term infants have maternal iron stores until approximately 6 months of age
-Havent had the time in utero to store up the needed iron supply (preterm)
How can you treat a neonate with iron deficiency anemia? - Answer-Iron fortified formula
What are risk factors for iron deficiency anemia in infants and children? - Answer-
1.inadequate iron intake
2.Malabsorption of iron in GI tract
3.Chronic blood loss
Food with good sources of iron - Answer-red meat, egg yolk, leafy greens, dried fruits,
fortified cereals/formulas, beef, chicken, fish, beans, nuts, seeds, peanut butter, eggs,
prunes, whole grain bread
, How is iron deficiency anemia diagnosed? - Answer-Serum lab evaluation:
-Red blood cell count = microcytic (small) and hypo chronic (pale in color)
-low hemoglobin
-low hematocrit
-low reticulocyte count
-low serum iron concentration
-high total iron binding capacity
What is the goal of treatment for iron deficiency anemia - Answer-treat medical problem
causing malabsorption or blood loss/ identify cause
What is the treatment method for iron deficiency anemia? - Answer-Increase iron take
~ Dietary sources
~Medication supplement (ferrosol or ferrous sulfate)
What should nurses and parents know about administering iron to children? - Answer--
Administer to back of mouth because it stains teeth, can cause constipation, and
black/green stool
-Give with orange juice or citric acid to help with absorption
-Do not give with milk or antacids
-Give on empty stomach unless GI distress
Lead Poisoning Risks - Answer--Children under the age of 6
Multidimensional Care II MDC 2 - Rasmussen
Clinical manifestation of lead poisoning - Answer--Asymptomatic
-Signs of anemia
-Growth and developmental lags
-Behavioral changes
-Neurologic changes
-Gastrointestinal changes
can someone be asymptomatic if they have lead poisoning - Answer-yes
signs of anemia (lead poisoning) - Answer-pallor, fatigue, weakness, shortness of breath,
headache, tachycardia - because lead replaces iron in Hgb causing anemia
Growth and developmental lags in lead poisoning - Answer-learning difficulties
Neurologic signs and symptoms of lead poisoning - Answer--Headache, irritability, difficulty
concentrating, loss of motor skills, paralysis, tremors
High levels: encephalopathy, seizures, and brain damage
,Gastrointestinal signs and symptoms of lead poisoning - Answer-abdominal pain, failure to
gain weight, weight loss, vomiting, constipation
Lead poisoning diagnostics - Answer-Blood lead level (BBL) test
-5mcg/dL = lead exposure
-45 mcg/dL = medical treatment required with chelation therapy
->70= mcg/dL = severe lead toxicity
Therapeutic management of lead poisoning - Answer--Decontamination
-Chelation
-Supportive therapy
-Deterrence and prevention
How do you decontaminate a person with lead poisoning? - Answer-Xray of GI tract to see
of lead is there. if it is, they flush it out to stop absorption
when to use Chelation therapy for lead poisoning - Answer--45-69 mcg/dL outpatient
therapy with oral succorer and parenteral disodium calcium edetate
->70 Hospitalization with dimercaprol and disodium calcium EDTA
-Monitor urinary output (possibly on 24 hour urine collection)
What do patients who have lead poisoning need in their diet? - Answer-Adequate calcium,
iron, and vitamin C
,signs and symptoms of iron deficiency anemia - Answer-pallor
tachycardia
tachypnea
lethargy
fatigue
irritability
Why are neonates at risk for iron deficiency anemia? - Answer--lack the maternal iron
stores
-Full term infants have maternal iron stores until approximately 6 months of age
-Havent had the time in utero to store up the needed iron supply (preterm)
How can you treat a neonate with iron deficiency anemia? - Answer-Iron fortified formula
What are risk factors for iron deficiency anemia in infants and children? - Answer-
1.inadequate iron intake
2.Malabsorption of iron in GI tract
3.Chronic blood loss
Food with good sources of iron - Answer-red meat, egg yolk, leafy greens, dried fruits,
fortified cereals/formulas, beef, chicken, fish, beans, nuts, seeds, peanut butter, eggs,
prunes, whole grain bread
, How is iron deficiency anemia diagnosed? - Answer-Serum lab evaluation:
-Red blood cell count = microcytic (small) and hypo chronic (pale in color)
-low hemoglobin
-low hematocrit
-low reticulocyte count
-low serum iron concentration
-high total iron binding capacity
What is the goal of treatment for iron deficiency anemia - Answer-treat medical problem
causing malabsorption or blood loss/ identify cause
What is the treatment method for iron deficiency anemia? - Answer-Increase iron take
~ Dietary sources
~Medication supplement (ferrosol or ferrous sulfate)
What should nurses and parents know about administering iron to children? - Answer--
Administer to back of mouth because it stains teeth, can cause constipation, and
black/green stool
-Give with orange juice or citric acid to help with absorption
-Do not give with milk or antacids
-Give on empty stomach unless GI distress
Lead Poisoning Risks - Answer--Children under the age of 6
