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NUR 2356 FINAL EXAM 2 2024 MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM |RASMUSSEN COLLEGE $12.49   Add to cart

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NUR 2356 FINAL EXAM 2 2024 MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM |RASMUSSEN COLLEGE

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NUR 2356 FINAL EXAM 2 2024 MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM |RASMUSSEN COLLEGE NUR 2356 FINAL EXAM 2 2024 MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM |RASMUSSEN COLLEGE NUR 2356 FINAL EXAM 2 2024 MULTIDIMENSIONAL CARE 1 FINAL/ MDC 1 FINAL EXAM |RASMUSSEN COLLEGE

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  • October 14, 2024
  • 55
  • 2024/2025
  • Exam (elaborations)
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  • NUR 2356
  • NUR 2356
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lectjoseph
NUR 2356 FINAL EXAM 2 2024 MULTIDIMENSIONAL
CARE 1 FINAL/ MDC 1 FINAL EXAM |RASMUSSEN
COLLEGE

Red blood cell production is stimulated by:



1. Tachycardia

2. Tachypnea

3. Renin angiotensin

4. Hypoxia - ANS Hypoxia



4 Main components of blood composition - ANS RBC, WBC, platelets, plasma



What is the composition of plasma - ANS 90% H2O

10% solutes - glucose, protein, albumin, hormones, etc



Where is bone marrow aspiration in infants? - ANS Tibia



Where is bone marrow aspiration in toddlers and preschoolers? - ANS femur and tibia



Where is bone marrow aspiration in children over 5? - ANS pelvis (iliac crest)



Where is bone marrow production in young adults/adults? - ANS ribs, sternum, vertebra, pelvis, skull,
clavicle, scapula

,what is anemia - ANS a condition in which levels of red blood cells and hemoglobin are lower than
normal



4 types of anemia - ANS Iron deficiency

lead poisoning

sickle cell

B-thalassemia



Define iron deficiency anemia - ANS reduction in the iron stores of the body causing an inadequate
production of hemoglobin



What is iron needed for? - ANS to make hgb



signs and symptoms of iron deficiency anemia - ANS pallor

tachycardia

tachypnea

lethargy

fatigue

irritability



Why are neonates at risk for iron deficiency anemia? - ANS -lack the maternal iron stores

-Full term infants have maternal iron stores until approximately 6 months of age

-Havent had the time in utero to store up the needed iron supply (preterm)



How can you treat a neonate with iron deficiency anemia? - ANS Iron fortified formula

,What are risk factors for iron deficiency anemia in infants and children? - ANS 1.inadequate iron intake

2.Malabsorption of iron in GI tract

3.Chronic blood loss



Food with good sources of iron - ANS red meat, egg yolk, leafy greens, dried fruits, fortified
cereals/formulas, beef, chicken, fish, beans, nuts, seeds, peanut butter, eggs, prunes, whole grain bread



How is iron deficiency anemia diagnosed? - ANS Serum lab evaluation:

-Red blood cell count = microcytic (small) and hypo chronic (pale in color)

-low hemoglobin

-low hematocrit

-low reticulocyte count

-low serum iron concentration

-high total iron binding capacity



What is the goal of treatment for iron deficiency anemia - ANS treat medical problem causing
malabsorption or blood loss/ identify cause



What is the treatment method for iron deficiency anemia? - ANS Increase iron take

~ Dietary sources

~Medication supplement (ferrosol or ferrous sulfate)



What should nurses and parents know about administering iron to children? - ANS -Administer to back
of mouth because it stains teeth, can cause constipation, and black/green stool

-Give with orange juice or citric acid to help with absorption

-Do not give with milk or antacids

-Give on empty stomach unless GI distress

, Lead Poisoning Risks - ANS -Children under the age of 6

-Children living at or below the poverty line who live in older (prior to 1978) housing

-Children adopted from other countries where there are less strict environmental regulations



Environmental causes of lead poisoning - ANS -Lead based paint

-Plumbing from lead pipes

-soil



Dietary factors of lead poisoning - ANS -iron deficiency

-calcium deficiency



Patient-child interactions - ANS -Job or hobby exposure

-home remedies or cultural practices



How does lead poisoning cause anemia - ANS lead can replace iron on Hgb causing O2 to not be
delivered causing anemia



Clinical manifestation of lead poisoning - ANS -Asymptomatic

-Signs of anemia

-Growth and developmental lags

-Behavioral changes

-Neurologic changes

-Gastrointestinal changes



can someone be asymptomatic if they have lead poisoning - ANS yes

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