Page 1 of 52
EXAM 4: NUR254 / NUR 254 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
CONCEPTS OF NURSING; THE CHILDBEARING AND
CHILD CARING FAMILIES | QUESTIONS & ANSWERS |
GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) -
GALEN
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**
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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
,Page 3 of 52
- 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**
, Page 4 of 52
**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)
EXAM 4: NUR254 / NUR 254 (LATEST
UPDATES STUDY BUNDLE PACKAGE WITH SOLUTIONS)
CONCEPTS OF NURSING; THE CHILDBEARING AND
CHILD CARING FAMILIES | QUESTIONS & ANSWERS |
GRADE A | 100% CORRECT (VERIFIED SOLUTIONS) -
GALEN
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**
,Page 2 of 52
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
,Page 3 of 52
- 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**
, Page 4 of 52
**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)
