NUR 254 Exam 4 2026 Exam
Questions and Correct
Answers | New Update
Iron deficiency Anemia:Etiology/Diagnostics - ANSWER
✔✔inadequate amount of iron, children 12-36 months at risk
Iron deficiency Anemia: S/S - ANSWER ✔✔-tachy
-can be underweight or overweight
Iron deficiency Anemia: treatment - ANSWER ✔✔-Iron rich foods
(green leafy), supplements, dietary supplements, organ meats, rice
cereal at 6 months,
,Iron deficiency Anemia: Teaching - ANSWER ✔✔- No cow's milk until
the baby is 1 years old
-NO iron supplements with milk, give on empty stomach acid makes it
absorb beer*
o Liquid supplement can stain teach, use straw or regular iron
supplement capsule/pill
o Black tarry green stools
o Keep away from children, never keep more than a month supply at
home
o Infants 30 mins before on empty, older child with something citric for
the acid*
o Dietary counseling
Sickle Cell Anemia: Important* - ANSWER ✔✔Prevent Dehydration
Sickle Cell Anemia: Etiology/Diagnostics - ANSWER ✔✔-Hereditary,
Autosomal recessive trait.
-Cells are sickle shaped. -Repetitive decrease in 02 cell walls become
rigid.
-Cells are getting jammed, causing an obstruction of RBC's, resulting in
PAIN.
,-The normal HGB is replaced with abnormal HGB.
-Effects the spleen.
o Organ that's mostly effected is the spleen*
o Newborn Screening in the US
Sickle Cell Anemia: S/S - ANSWER ✔✔o Vascular inflammation
o Pain-> severe abdominal pain or chest. Mid to severe from 1 min-days
-> crisis
o Stroke -> Severe unrelieved headache**
o Painful Swelling: hands, feet, joint pain
o Headache. Doesn't go away with meds? Possible CVA.
EMERGENCY*
o One CVA? R/F another** (stroke)
o Visual disturbances
o Obstructive jaundice
o Fever 101.3 or higher
o Severe hypoxia
Sickle Cell Anemia: VASOCCLUSIVE Crisis - ANSWER ✔✔-: Acute
chest syndrome
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, -mimics pneumonia "painful episode"
Sickle Cell Anemia: Splenic Sequestration - ANSWER ✔✔-Pooling of
blood in the spleen
-Causes infection, stress, dehydration, *USE IV FLUIDS***
-trauma
Sickle Cell Anemia: treatment - ANSWER ✔✔o DON'T over
oxygenate o Heat
o Prophylactic antibiotics: R/F infection* Preventing Infection* ( Vaccines,
Anbiocs (PCN))
o If they've had a stroke, every 3-4 weeks for transfusions* to prevent
CVA
o Decrease 02 demands
o Oral/IV hydration, Oral at home to prevent hospitalization
o Splenectomy (severe)
o Stem cell Transplant: considered curative (severe)
o Rest
o Control Pain: Morphine
o Electrolyte replacement
Questions and Correct
Answers | New Update
Iron deficiency Anemia:Etiology/Diagnostics - ANSWER
✔✔inadequate amount of iron, children 12-36 months at risk
Iron deficiency Anemia: S/S - ANSWER ✔✔-tachy
-can be underweight or overweight
Iron deficiency Anemia: treatment - ANSWER ✔✔-Iron rich foods
(green leafy), supplements, dietary supplements, organ meats, rice
cereal at 6 months,
,Iron deficiency Anemia: Teaching - ANSWER ✔✔- No cow's milk until
the baby is 1 years old
-NO iron supplements with milk, give on empty stomach acid makes it
absorb beer*
o Liquid supplement can stain teach, use straw or regular iron
supplement capsule/pill
o Black tarry green stools
o Keep away from children, never keep more than a month supply at
home
o Infants 30 mins before on empty, older child with something citric for
the acid*
o Dietary counseling
Sickle Cell Anemia: Important* - ANSWER ✔✔Prevent Dehydration
Sickle Cell Anemia: Etiology/Diagnostics - ANSWER ✔✔-Hereditary,
Autosomal recessive trait.
-Cells are sickle shaped. -Repetitive decrease in 02 cell walls become
rigid.
-Cells are getting jammed, causing an obstruction of RBC's, resulting in
PAIN.
,-The normal HGB is replaced with abnormal HGB.
-Effects the spleen.
o Organ that's mostly effected is the spleen*
o Newborn Screening in the US
Sickle Cell Anemia: S/S - ANSWER ✔✔o Vascular inflammation
o Pain-> severe abdominal pain or chest. Mid to severe from 1 min-days
-> crisis
o Stroke -> Severe unrelieved headache**
o Painful Swelling: hands, feet, joint pain
o Headache. Doesn't go away with meds? Possible CVA.
EMERGENCY*
o One CVA? R/F another** (stroke)
o Visual disturbances
o Obstructive jaundice
o Fever 101.3 or higher
o Severe hypoxia
Sickle Cell Anemia: VASOCCLUSIVE Crisis - ANSWER ✔✔-: Acute
chest syndrome
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
STATEMENT. ALL RIGHTS RESERVED
3
, -mimics pneumonia "painful episode"
Sickle Cell Anemia: Splenic Sequestration - ANSWER ✔✔-Pooling of
blood in the spleen
-Causes infection, stress, dehydration, *USE IV FLUIDS***
-trauma
Sickle Cell Anemia: treatment - ANSWER ✔✔o DON'T over
oxygenate o Heat
o Prophylactic antibiotics: R/F infection* Preventing Infection* ( Vaccines,
Anbiocs (PCN))
o If they've had a stroke, every 3-4 weeks for transfusions* to prevent
CVA
o Decrease 02 demands
o Oral/IV hydration, Oral at home to prevent hospitalization
o Splenectomy (severe)
o Stem cell Transplant: considered curative (severe)
o Rest
o Control Pain: Morphine
o Electrolyte replacement
