NUR 2356 FINAL EXAM 2 LATEST VERSIONS 2026
MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM
QUESTIONS AND CORRECT ANSWERS|RASMUSSEN
COLLEGE/GET IT 100% ACCURATE !!
How can you treat a neonate with iron deficiency anemia?
Iron fortified formula
What are risk factors for iron deficiency anemia in infants and children?
1.inadequate iron intake
2.Malabsorption of iron in GI
tract
3.Chronic blood loss
Food with good sources of iron
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?
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
treat medical problem causing malabsorption or blood loss/ identify cause
What is the treatment method for iron deficiency anemia?
Increase iron take
~ Dietary sources
~Medication supplement (ferrosol or ferrous sulfate)
What should nurses and parents know about administering iron to children?
-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
-Children under the age of 6
-Children living at or below the poverty line who live in older (prior to 1978)
housing
-Children adopted from other countries where there are less strict environmental
regulations
Environmental causes of lead poisoning
-Lead based paint
-Plumbing from lead pipes
-soil
,Dietary factors of lead poisoning
-iron deficiency
-calcium deficiency
Patient-child interactions
-Job or hobby exposure
-home remedies or cultural practices
How does lead poisoning cause anemia
lead can replace iron on Hgb causing O2 to not be delivered causing anemia
Clinical manifestation of lead poisoning
-Asymptomatic
-Signs of anemia
-Growth and developmental lags
-Behavioral changes
-Neurologic changes
-Gastrointestinal changes
can someone be asymptomatic if they have lead poisoning
yes
signs of anemia (lead poisoning)
pallor, fatigue, weakness, shortness of breath, headache, tachycardia - because
lead replaces iron in Hgb causing anemia
, Growth and developmental lags in lead poisoning
learning difficulties
Neurologic signs and symptoms of lead poisoning
-Headache, irritability, difficulty concentrating, loss of motor skills, paralysis,
tremors High levels: encephalopathy, seizures, and brain damage
Gastrointestinal signs and symptoms of lead poisoning
abdominal pain, failure to gain weight, weight loss, vomiting, constipation
Lead poisoning diagnostics
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
-Decontamination
-Chelation
-Supportive therapy
-Deterrence and prevention
How do you decontaminate a person with lead poisoning?
Xray of GI tract to see of lead is there. if it is, they flush it out to stop absorption
MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM
QUESTIONS AND CORRECT ANSWERS|RASMUSSEN
COLLEGE/GET IT 100% ACCURATE !!
How can you treat a neonate with iron deficiency anemia?
Iron fortified formula
What are risk factors for iron deficiency anemia in infants and children?
1.inadequate iron intake
2.Malabsorption of iron in GI
tract
3.Chronic blood loss
Food with good sources of iron
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?
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
treat medical problem causing malabsorption or blood loss/ identify cause
What is the treatment method for iron deficiency anemia?
Increase iron take
~ Dietary sources
~Medication supplement (ferrosol or ferrous sulfate)
What should nurses and parents know about administering iron to children?
-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
-Children under the age of 6
-Children living at or below the poverty line who live in older (prior to 1978)
housing
-Children adopted from other countries where there are less strict environmental
regulations
Environmental causes of lead poisoning
-Lead based paint
-Plumbing from lead pipes
-soil
,Dietary factors of lead poisoning
-iron deficiency
-calcium deficiency
Patient-child interactions
-Job or hobby exposure
-home remedies or cultural practices
How does lead poisoning cause anemia
lead can replace iron on Hgb causing O2 to not be delivered causing anemia
Clinical manifestation of lead poisoning
-Asymptomatic
-Signs of anemia
-Growth and developmental lags
-Behavioral changes
-Neurologic changes
-Gastrointestinal changes
can someone be asymptomatic if they have lead poisoning
yes
signs of anemia (lead poisoning)
pallor, fatigue, weakness, shortness of breath, headache, tachycardia - because
lead replaces iron in Hgb causing anemia
, Growth and developmental lags in lead poisoning
learning difficulties
Neurologic signs and symptoms of lead poisoning
-Headache, irritability, difficulty concentrating, loss of motor skills, paralysis,
tremors High levels: encephalopathy, seizures, and brain damage
Gastrointestinal signs and symptoms of lead poisoning
abdominal pain, failure to gain weight, weight loss, vomiting, constipation
Lead poisoning diagnostics
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
-Decontamination
-Chelation
-Supportive therapy
-Deterrence and prevention
How do you decontaminate a person with lead poisoning?
Xray of GI tract to see of lead is there. if it is, they flush it out to stop absorption
