NUR 2356 FINAL EXAM 2 LATEST VERSIONS 2023 MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM 200+QUESTIONS AND CORRECT ANSWERS|RASMUSSEN COLLEGE

NUR 2356 FINAL EXAM 2 LATEST VERSIONS 2023
X X X X X X X X




MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL
X X X X X X X




EXAM 200+QUESTIONS AND CORRECT
X X X X




ANSWERS|RASMUSSEN COLLEGE X




Redxbloodxcellxproductionxisxstimulatedxby:

1.xTachycardiax
2.xTachypnea
3.xReninxangiotensin
4.xHypoxiax-xAnswerx-xHypoxia

4xMainxcomponentsxofxbloodxcompositionx-xAnswerx-xRBC,xWBC,xplatelets,xplasma

Whatxisxthexcompositionxofxplasmax-xAnswerx-x90%xH2O
10%xsolutesx-xglucose,xprotein,xalbumin,xhormones,xetc

Wherexisxbonexmarrowxaspirationxinxinfants?x-xAnswerx-xTibia

Wherexisxbonexmarrowxaspirationxinxtoddlersxandxpreschoolers?x-xAnswerx-xfemurxandxtibia

Wherexisxbonexmarrowxaspirationxinxchildrenxoverx5?x-xAnswerx-xpelvisx(iliacxcrest)

Wherexisxbonexmarrowxproductionxinxyoungxadults/adults?x-xAnswerx-
xribs,xsternum,xvertebra,xpelvis,xskull,xclavicle,xscapula




whatxisxanemiax-xAnswerx-
xaxconditionxinxwhichxlevelsxofxredxbloodxcellsxandxhemoglobinxarexlowerxthanxnormal




4xtypesxofxanemiax-xAnswerx-xIronxdeficiency
leadxpoisoning
sicklexcell
B-thalassemia

Definexironxdeficiencyxanemiax-xAnswerx-
xreductionxinxthexironxstoresxofxthexbodyxcausingxanxinadequatexproductionxofxhemoglobin




Whatxisxironxneededxfor?x-xAnswerx-xtoxmakexhgb

,signsxandxsymptomsxofxironxdeficiencyxanemiax-xAnswerx-xpallor
tachycardia
tachypnea
lethargy
fatigue
irritability

Whyxarexneonatesxatxriskxforxironxdeficiencyxanemia?x-xAnswerx-x-
lackxthexmaternalxironxstoresx
-Fullxtermxinfantsxhavexmaternalxironxstoresxuntilxapproximatelyx6xmonthsxofxage
-Haventxhadxthextimexinxuteroxtoxstorexupxthexneededxironxsupplyx(preterm)

Howxcanxyouxtreatxaxneonatexwithxironxdeficiencyxanemia?x-xAnswerx-xIronxfortifiedxformula

Whatxarexriskxfactorsxforxironxdeficiencyxanemiaxinxinfantsxandxchildren?x-xAnswerx-
x1.inadequatexironxintake


2.MalabsorptionxofxironxinxGIxtract
3.Chronicxbloodxloss

Foodxwithxgoodxsourcesxofxironx-xAnswerx-
xredxmeat,xeggxyolk,xleafyxgreens,xdriedxfruits,xfortifiedxcereals/formulas,xbeef,xchicken,xfish


,xbeans,xnuts,xseeds,xpeanutxbutter,xeggs,xprunes,xwholexgrainxbread

Howxisxironxdeficiencyxanemiaxdiagnosed?x-xAnswerx-xSerumxlabxevaluation:
-Redxbloodxcellxcountx=xmicrocyticx(small)xandxhypoxchronicx(palexinxcolor)
-lowxhemoglobin
-lowxhematocrit
-lowxreticulocytexcount
-lowxserumxironxconcentrationx
-highxtotalxironxbindingxcapacity

Whatxisxthexgoalxofxtreatmentxforxironxdeficiencyxanemiax-xAnswerx-
xtreatxmedicalxproblemxcausingxmalabsorptionxorxbloodxloss/xidentifyxcause




Whatxisxthextreatmentxmethodxforxironxdeficiencyxanemia?x-xAnswerx-xIncreasexironxtake
~xDietaryxsources
~Medicationxsupplementx(ferrosolxorxferrousxsulfate)

,Whatxshouldxnursesxandxparentsxknowxaboutxadministeringxironxtoxchildren?x-xAnswerx-x-
Administerxtoxbackxofxmouthxbecausexitxstainsxteeth,xcanxcausexconstipation,xandxblack/gr
eenxstool
-Givexwithxorangexjuicexorxcitricxacidxtoxhelpxwithxabsorption
-Doxnotxgivexwithxmilkxorxantacids
-GivexonxemptyxstomachxunlessxGIxdistress

LeadxPoisoningxRisksx-xAnswerx-x-Childrenxunderxthexagexofx6
-Childrenxlivingxatxorxbelowxthexpovertyxlinexwhoxlivexinxolderx(priorxtox1978)xhousing
-
Childrenxadoptedxfromxotherxcountriesxwherextherexarexlessxstrictxenvironmentalxregulation
s

Environmentalxcausesxofxleadxpoisoningx-xAnswerx-x-Leadxbasedxpaintx
-Plumbingxfromxleadxpipes
-soil

Dietaryxfactorsxofxleadxpoisoningx-xAnswerx-x-ironxdeficiency
-calciumxdeficiency

Patient-childxinteractionsx-xAnswerx-x-Jobxorxhobbyxexposure
-homexremediesxorxculturalxpractices

Howxdoesxleadxpoisoningxcausexanemiax-xAnswerx-
xleadxcanxreplacexironxonxHgbxcausingxO2xtoxnotxbexdeliveredxcausingxanemia




Clinicalxmanifestationxofxleadxpoisoningx-xAnswerx-x-Asymptomatic
-Signsxofxanemiax
-Growthxandxdevelopmentalxlags
-Behavioralxchanges
-Neurologicxchanges
-Gastrointestinalxchanges

canxsomeonexbexasymptomaticxifxtheyxhavexleadxpoisoningx-xAnswerx-xyes

signsxofxanemiax(leadxpoisoning)x-xAnswerx-
xpallor,xfatigue,xweakness,xshortnessxofxbreath,xheadache,xtachycardiax-


xbecausexleadxreplacesxironxinxHgbxcausingxanemia




Growthxandxdevelopmentalxlagsxinxleadxpoisoningx-xAnswerx-xlearningxdifficulties

, Neurologicxsignsxandxsymptomsxofxleadxpoisoningx-xAnswerx-x-
Headache,xirritability,xdifficultyxconcentrating,xlossxofxmotorxskills,xparalysis,xtremors

Highxlevels:xencephalopathy,xseizures,xandxbrainxdamage

Gastrointestinalxsignsxandxsymptomsxofxleadxpoisoningx-xAnswerx-
xabdominalxpain,xfailurextoxgainxweight,xweightxloss,xvomiting,xconstipation




Leadxpoisoningxdiagnosticsx-xAnswerx-xBloodxleadxlevelx(BBL)xtest
-5mcg/dLx=xleadxexposure
-45xmcg/dLx=xmedicalxtreatmentxrequiredxwithxchelationxtherapy
->70=xmcg/dLx=xseverexleadxtoxicity

Therapeuticxmanagementxofxleadxpoisoningx-xAnswerx-x-Decontamination
-Chelation
-Supportivextherapy
-Deterrencexandxprevention

Howxdoxyouxdecontaminatexaxpersonxwithxleadxpoisoning?x-xAnswerx-
xXrayxofxGIxtractxtoxseexofxleadxisxthere.xifxitxis,xtheyxflushxitxoutxtoxstopxabsorption




whenxtoxusexChelationxtherapyxforxleadxpoisoningx-xAnswerx-x-45-
69xmcg/dLxoutpatientxtherapyxwithxoralxsuccorerxandxparenteralxdisodiumxcalciumxedetate
->70xHospitalizationxwithxdimercaprolxandxdisodiumxcalciumxEDTA
-Monitorxurinaryxoutputx(possiblyxonx24xhourxurinexcollection)

Whatxdoxpatientsxwhoxhavexleadxpoisoningxneedxinxtheirxdiet?x-xAnswerx-
xAdequatexcalcium,xiron,xandxvitaminxC




Chelationxdrugsx-xAnswerx-x1.Edetatexcalciumxdisodiumx(CaNA2EDTA)
2.Succimerx(Chemet)
3.Dimercaprolx(BALxinxOil)

InformationxonxChelationxdrugxEdetatexcalciumxdisodiumx(CaNA2EDTA)x-xAnswerx-x-
GivenxIMxorxIVxforx5xdays
-
xIncreasexleadxconcentrationsxinxCNSxresultingxinxencephalopathyxinxitsxwithxBLLx>70xmcg/


dL,xusedxinxcombinationxwithxdimercaprol