FIRST PUBLISH OCTOBER 2024
NUR 4410 Exam #3 Practice Questions
and Answers
Risk factors for Ewing Sarcoma? - Ans:✔✔-- White Race
- Common in boys than girls
- More than 50% are between ages 10-20
Home care education to parents with children diagnosed with hemophilia? - Ans:✔✔-Children and
adolescents with severe hemophilia can participate in non-contact sports such as swimming or jogging.
- Close supervision and safe environment
- Dental procedures in controlled sitation
- Shave only with electric razor
- If superficial bleeding, apply 15 min pressure and ice
- If significant bleeding, transfuse for factor replacement
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FIRST PUBLISH OCTOBER 2024
Explain Hemophilia? - Ans:✔✔-The inheritance pattern is demonstrated as X-linked recessive in which
blood clotting factors is deficient.
To minimize joint injury - provide IV infusion of factor VIII concentrates.
Child with hemophilia will have abnormal PTT.
- What measures can be taken for a bleeding episode? DDVAP (IV, causes 204 time increase in factor VIII
activity, used for mild hemophilia).
- Replace missing clotting factors.
- Transfusions (at home with prompt intervention to decrease complications and following major or
minor hemorrhages).
Explain ITP. Family education on care at home for a child with ITP (Idiopathic thrombocytopenia
purport)? - Ans:✔✔-Caused by excessive destruction of platelet.
- Child with ITP should not participate in any contact sports, bike riding, skate boarding, inline skating,
gymnastics, climbing, or running.
- Parents are encouraged to engage their children in quiet activities and to prevent any injuries to the
child's head (e.g. by having the child wear protective gear).
- Call HCP if any bleeding, bruising, petechia, hematuria, headache, confusion, stiff neck, and vision
change occur.
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