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NURSING NUR 254 EXAM 4 STUDY MATERIAL 2024 UPDATE (GRADED A+) QUESTIONS AND ANSWERS | GALEN COLLEGE OF NURSING COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS/GRADED A+/GET IT 100% ACCURATE!! $22.99
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NURSING NUR 254 EXAM 4 STUDY MATERIAL 2024 UPDATE (GRADED A+) QUESTIONS AND ANSWERS | GALEN COLLEGE OF NURSING COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS/GRADED A+/GET IT 100% ACCURATE!!

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NURSING NUR 254 EXAM 4 STUDY MATERIAL 2024 UPDATE (GRADED A+) QUESTIONS AND ANSWERS | GALEN COLLEGE OF NURSING COMPREHENSIVE QUESTIONS AND VERIFIED ANSWERS/GRADED A+/GET IT 100% ACCURATE!!

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  • October 14, 2024
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  • 2024/2025
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  • nursing nur 254 exam 4 study material

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  • NURSING NUR 254
  • NURSING NUR 254

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NUR 254 Exam 4

1. Iron deficien- inadequate amount of iron, children 12-36 months at risk
cy Anemia:Etiol-
ogy/Diagnostics

2. Iron deficiency -tachy
Anemia: S/S -can be underweight or overweight

3. Iron deficiency -Iron rich foods (green leafy), supplements, dietary sup-
Anemia: treat- plements, organ meats, rice cereal at 6 months,
ment

4. Iron deficiency - No cow's milk until the baby is 1 years old
Anemia: Teach- -NO iron supplements with milk, give on empty stomach
ing 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 some-
thing citric for the acid*
o Dietary counseling

5. Sickle Cell Ane- Prevent Dehydration
mia: Important*

6. Sickle Cell Ane- -Hereditary, Autosomal recessive trait.
mia: Etiology/Di- -Cells are sickle shaped. -Repetitive decrease in 02 cell
agnostics 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

7. Sickle Cell Ane- o Vascular inflammation
mia: S/S o Pain-> severe abdominal pain or chest. Mid to severe
from 1 min-days -> crisis



, NUR 254 Exam 4

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

8. Sickle Cell Ane- -: Acute chest syndrome
mia: VASOCCLU- -mimics pneumonia "painful episode"
SIVE Crisis

9. Sickle Cell Ane- -Pooling of blood in the spleen
mia: Splenic Se- -Causes infection, stress, dehydration, *USE IV FLU-
questration IDS***
-trauma

10. Sickle Cell Ane- o DON'T over oxygenate o Heat
mia: treatment o Prophylactic antibiotics: R/F infection* Preventing Infec-
tion* ( 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 hospitaliza-
tion
o Splenectomy (severe)
o Stem cell Transplant: considered curative (severe)
o Rest
o Control Pain: Morphine
o Electrolyte replacement

11. Sickle Cell Ane- o Prevent hydration
mia: Teaching 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



, NUR 254 Exam 4

12. Hemophilia: term MIssing clotting factors

13. Hemophilia:Etiol- Deficiency of factor VIII, produced by the liver, bleeding
ogy/Diagnostics disorder

14. Hemophilia: edu- Parents -> genetic counseling
cation

15. Hemophilia: S/S 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

16. Hemophilia: -NO cure; lifelong
Treatment o Replace VIII factor:
o Prevent bleeding: No IM vaccines, try subQ or less
invasive first

o Medications
Steroids
NSAIDS
DDAVP

o Wear helmets
o Safety, protective equipment
o Regular Exercise and Physical Therapy
o Go to doctor for sprains

o Control Bleeding
R: Rest
I: ICE

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