6/27/25, 8:22
AM
NURS533 Module 6: Hematology, Pain, & Oncology exam
questions and answers with complete solutions verified latest
version 2025/2026
- menstruation in adolescent girls
- bleeding
- impaired iron absorption
What are some causes
- insufficient dietary intake of iron
of iron deficiency - drinking too much milk (calcium in milk
anemia (IDA) in competes with binding sites in stomach for iron
children? absorption)
- breastfed babies - no iron, unlike formula which is
fortified
- PICA (eating dirt, ice)
What are some
- tachycardia with systolic murmur (if severe)
hallmark signs of iron-
- concave "spooning" of nails
deficiency anemia?
vitamin C - so chase with OJ when taking iron
supplement (especially because it does not
What helps absorption taste good)
of iron? How should
place liquid BEHIND the teeth when taking -
iron supplements be
taken? ferrous sulfate can stain teeth note: may
have constipation and dark stool from
supplement
treatment:
- IV factor administration (someone around
child should always know how to
administer)
What are the treatment
- limit activities with high risk for injury
options and nursing care
actions with a child with nursing care:
hemophilia? - elevate limb, apply ice, apply pressure
- teach administration of factor
- develop a safety plan
What type of inheritance autosomal recessive trait
pattern/genetic disorder
is sickle cell disease?
1/
6
, 6/27/25, 8:22
AM
How can sickle cell dehydration, injury/pain, infection, excessive
disease be triggered? cold exposure, hypoxia, physical exertion
Name a few triggers.
What are the 3 triggers pain, dehydration, or lack of oxygen
of a vaso-occlusive
crisis?
treatment:
- hydration (but caution in patients with kidney damage or
cardiac failure)
What are treatment - supplemental oxygen
options for sickle cell - pain medication (IV narcotics, acetaminophen, ketorolac,
disease? Nursing ibuprofen)
considerations/actions?
nursing:
- heat packs - NO ICE!!! could increase clotting!!
caused by sickle cell disease
- sickling of cells leads to infarction in the lungs, leading
to pulmonary infiltrates
What is acute chest
--> lack of O2 to lungs, causes more infarctions in other
syndrome and what is it places
caused by? --> can't fully get O2 to RBCs
--> blood becomes hypoxic, leading to further sickling
incentive spirometry main way to avoid/prevent, as well
as hydroxyurea
- Q = question the child
- U = use reliable pain scale
What does QUESTT stand - E = evaluate child's behavior
for in assessing pain in - S = secure the parent's involvement
pediatric patients? - T = take cause of pain into account when intervening
- T = take action
- relaxation - stroking infant, holding, talk in soothing
voice, breathing exercises
What are some non- - distraction
pharmacologic - imagery - use positive and pleasurable
strategies to managing images: write down, draw, etc., then
pain in pediatric use/visualize again when pain occurs
patients? - biofeedback
- thought stopping - "it is only for a short time", "it's
important so I will get better"
- positive self-talk
2/
6
AM
NURS533 Module 6: Hematology, Pain, & Oncology exam
questions and answers with complete solutions verified latest
version 2025/2026
- menstruation in adolescent girls
- bleeding
- impaired iron absorption
What are some causes
- insufficient dietary intake of iron
of iron deficiency - drinking too much milk (calcium in milk
anemia (IDA) in competes with binding sites in stomach for iron
children? absorption)
- breastfed babies - no iron, unlike formula which is
fortified
- PICA (eating dirt, ice)
What are some
- tachycardia with systolic murmur (if severe)
hallmark signs of iron-
- concave "spooning" of nails
deficiency anemia?
vitamin C - so chase with OJ when taking iron
supplement (especially because it does not
What helps absorption taste good)
of iron? How should
place liquid BEHIND the teeth when taking -
iron supplements be
taken? ferrous sulfate can stain teeth note: may
have constipation and dark stool from
supplement
treatment:
- IV factor administration (someone around
child should always know how to
administer)
What are the treatment
- limit activities with high risk for injury
options and nursing care
actions with a child with nursing care:
hemophilia? - elevate limb, apply ice, apply pressure
- teach administration of factor
- develop a safety plan
What type of inheritance autosomal recessive trait
pattern/genetic disorder
is sickle cell disease?
1/
6
, 6/27/25, 8:22
AM
How can sickle cell dehydration, injury/pain, infection, excessive
disease be triggered? cold exposure, hypoxia, physical exertion
Name a few triggers.
What are the 3 triggers pain, dehydration, or lack of oxygen
of a vaso-occlusive
crisis?
treatment:
- hydration (but caution in patients with kidney damage or
cardiac failure)
What are treatment - supplemental oxygen
options for sickle cell - pain medication (IV narcotics, acetaminophen, ketorolac,
disease? Nursing ibuprofen)
considerations/actions?
nursing:
- heat packs - NO ICE!!! could increase clotting!!
caused by sickle cell disease
- sickling of cells leads to infarction in the lungs, leading
to pulmonary infiltrates
What is acute chest
--> lack of O2 to lungs, causes more infarctions in other
syndrome and what is it places
caused by? --> can't fully get O2 to RBCs
--> blood becomes hypoxic, leading to further sickling
incentive spirometry main way to avoid/prevent, as well
as hydroxyurea
- Q = question the child
- U = use reliable pain scale
What does QUESTT stand - E = evaluate child's behavior
for in assessing pain in - S = secure the parent's involvement
pediatric patients? - T = take cause of pain into account when intervening
- T = take action
- relaxation - stroking infant, holding, talk in soothing
voice, breathing exercises
What are some non- - distraction
pharmacologic - imagery - use positive and pleasurable
strategies to managing images: write down, draw, etc., then
pain in pediatric use/visualize again when pain occurs
patients? - biofeedback
- thought stopping - "it is only for a short time", "it's
important so I will get better"
- positive self-talk
2/
6
