NUR 254 EXAM 4 WITH 100%
CORRECT ANSWERS 2025
Iron deficiency Anemia:Etiology/Diagnostics correct answers
>> inadequate amount of iron, children 12-36 months at risk
Iron deficiency Anemia: S/S correct answers >> -tachy
-can be underweight or overweight
Iron deficiency Anemia: treatment correct answers >> -Iron
rich foods (green leafy), supplements, dietary supplements, organ
meats, rice cereal at 6 months,
Iron deficiency Anemia: Teaching correct answers >> - 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* correct answers >> Prevent
Dehydration
,Sickle Cell Anemia: Etiology/Diagnostics correct answers >> -
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 correct answers >> 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 correct answers >>
-: Acute chest syndrome
-mimics pneumonia "painful episode"
Sickle Cell Anemia: Splenic Sequestration correct answers >>
-Pooling of blood in the spleen
-Causes infection, stress, dehydration, *USE IV FLUIDS***
-trauma
Sickle Cell Anemia: treatment correct answers >> 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
Sickle Cell Anemia: Teaching correct answers >> 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
Hemophilia: term correct answers >> MIssing clotting factors
Hemophilia:Etiology/Diagnostics correct answers >>
Deficiency of factor VIII, produced by the liver, bleeding disorder
Hemophilia: education correct answers >> Parents ->
genetic counseling
Hemophilia: S/S correct answers >> o PROLONGED bleeding,
kid will bleed longer than other kids, gums, cuts, injections
o Hemorrhage: At higher risk
o Bruising
o Hemarthrosis: blood in joints (knees, elbows, ankles)
o Spontaneous Hematuria: dark urine, blood
o Hematomas -> pain, swelling, limited motion
o Headache
o Slurred Speech
o Loss of Consciousness
o Black Tarry Stools= Bleed
o Vomiting coffee ground emesis
o Bleeding gyms with teeth brushing
CORRECT ANSWERS 2025
Iron deficiency Anemia:Etiology/Diagnostics correct answers
>> inadequate amount of iron, children 12-36 months at risk
Iron deficiency Anemia: S/S correct answers >> -tachy
-can be underweight or overweight
Iron deficiency Anemia: treatment correct answers >> -Iron
rich foods (green leafy), supplements, dietary supplements, organ
meats, rice cereal at 6 months,
Iron deficiency Anemia: Teaching correct answers >> - 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* correct answers >> Prevent
Dehydration
,Sickle Cell Anemia: Etiology/Diagnostics correct answers >> -
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 correct answers >> 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 correct answers >>
-: Acute chest syndrome
-mimics pneumonia "painful episode"
Sickle Cell Anemia: Splenic Sequestration correct answers >>
-Pooling of blood in the spleen
-Causes infection, stress, dehydration, *USE IV FLUIDS***
-trauma
Sickle Cell Anemia: treatment correct answers >> 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
Sickle Cell Anemia: Teaching correct answers >> 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
Hemophilia: term correct answers >> MIssing clotting factors
Hemophilia:Etiology/Diagnostics correct answers >>
Deficiency of factor VIII, produced by the liver, bleeding disorder
Hemophilia: education correct answers >> Parents ->
genetic counseling
Hemophilia: S/S correct answers >> o PROLONGED bleeding,
kid will bleed longer than other kids, gums, cuts, injections
o Hemorrhage: At higher risk
o Bruising
o Hemarthrosis: blood in joints (knees, elbows, ankles)
o Spontaneous Hematuria: dark urine, blood
o Hematomas -> pain, swelling, limited motion
o Headache
o Slurred Speech
o Loss of Consciousness
o Black Tarry Stools= Bleed
o Vomiting coffee ground emesis
o Bleeding gyms with teeth brushing
