NUR 254 Exam 4 Questions Complete
Latest 2025/2026 with Correct Answers
and Rationales GRADED A+
Iron deficiency Anemia:Etiology/Diagnostics
<Ans> inadequate amount of iron, children 12-36 months at risk
Qiz Iron deficiency Anemia: S/S
<Ans> -tachy
-can be underweight or overweight
Qiz Iron deficiency Anemia: treatment
<Ans> -Iron rich foods (green leafy), supplements, dietary supplements, organ meats, rice cereal at 6
months,
Qiz Iron deficiency Anemia: Teaching
,<Ans> - 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
Qiz Sickle Cell Anemia: Important*
<Ans> Prevent Dehydration
Qiz Sickle Cell Anemia: Etiology/Diagnostics
<Ans> -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
Qiz Sickle Cell Anemia: S/S
<Ans> 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
Qiz Sickle Cell Anemia: VASOCCLUSIVE Crisis
<Ans> -: Acute chest syndrome
-mimics pneumonia "painful episode"
Qiz Sickle Cell Anemia: Splenic Sequestration
<Ans> -Pooling of blood in the spleen
-Causes infection, stress, dehydration, *USE IV FLUIDS***
-trauma
Qiz Sickle Cell Anemia: treatment
<Ans> 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
Qiz Sickle Cell Anemia: Teaching
<Ans> o Prevent hydration
o Rest
o Improve oxygen but don't over oxygenate
o Educate importance of vaccines
o Know s/s of a stroke
o Child is normal just gets sicker easier
Qiz Hemophilia: term
<Ans> MIssing clotting factors
Qiz Hemophilia:Etiology/Diagnostics
<Ans> Deficiency of factor VIII, produced by the liver, bleeding disorder
Latest 2025/2026 with Correct Answers
and Rationales GRADED A+
Iron deficiency Anemia:Etiology/Diagnostics
<Ans> inadequate amount of iron, children 12-36 months at risk
Qiz Iron deficiency Anemia: S/S
<Ans> -tachy
-can be underweight or overweight
Qiz Iron deficiency Anemia: treatment
<Ans> -Iron rich foods (green leafy), supplements, dietary supplements, organ meats, rice cereal at 6
months,
Qiz Iron deficiency Anemia: Teaching
,<Ans> - 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
Qiz Sickle Cell Anemia: Important*
<Ans> Prevent Dehydration
Qiz Sickle Cell Anemia: Etiology/Diagnostics
<Ans> -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
Qiz Sickle Cell Anemia: S/S
<Ans> 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
Qiz Sickle Cell Anemia: VASOCCLUSIVE Crisis
<Ans> -: Acute chest syndrome
-mimics pneumonia "painful episode"
Qiz Sickle Cell Anemia: Splenic Sequestration
<Ans> -Pooling of blood in the spleen
-Causes infection, stress, dehydration, *USE IV FLUIDS***
-trauma
Qiz Sickle Cell Anemia: treatment
<Ans> 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
Qiz Sickle Cell Anemia: Teaching
<Ans> o Prevent hydration
o Rest
o Improve oxygen but don't over oxygenate
o Educate importance of vaccines
o Know s/s of a stroke
o Child is normal just gets sicker easier
Qiz Hemophilia: term
<Ans> MIssing clotting factors
Qiz Hemophilia:Etiology/Diagnostics
<Ans> Deficiency of factor VIII, produced by the liver, bleeding disorder
