NSG 222 exam 3 peds Exam Questions With Correct Answers
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NSG 222 exam 3 peds Exam Questions With Correct Answers
10 Warning Signs of Primary Immunodeficiency - ANSWER- 1. 4 or more new ear infections w/in 1 year
2. 2 or more serious sinus infections w/in 1 year
3. 2 or more months on antibiotics w/ little effect
4. 2 or more pneumonias w/in 1 year
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NSG 222 exam 3 peds Exam
Questions With Correct Answers
10 Warning Signs of Primary Immunodeficiency - ANSWER- 1. 4 or more new ear
infections w/in 1 year
2. 2 or more serious sinus infections w/in 1 year
3. 2 or more months on antibiotics w/ little effect
4. 2 or more pneumonias w/in 1 year
5. Failure of an infant to gain weight or grow normally
Medications used to treat anxiety in children? - ANSWER- Other than the antianxiety
agent buspirone include; tricyclic antidepressants & selective serotonin reuptake
inhibitors.
What does Child Maltreatment all detail? - ANSWER- Includes physical abuse, sexual
abuse, emotional abuse, & neglect.
Child maltreatment may result in significant physical injury, poor physical health, &, in
some cases, impaired brain development.
Common Medical Treatments for Cancer? - ANSWER- Blood product transfusion
Leukapheresis
Hematopoietic Stem Cell Transplantation
Supplemental Oxygen
Biopsy
Splenectomy
Surgical Removal of Tumor & Radiation
Main Causes of Iron-Deficiency Anemia? - ANSWER- Usually d/t malabsorption,
hemorrhage, or diet.
What is Anemia? - ANSWER- A condition in which the level of RBCs is lower than the
age-appropriate normal value.
Anemia may develop as a result of decrease in oxygen-carrying ability of the blood
Therapeutic Management of Iron-Deficiency Anemia? - ANSWER- Iron supplements:
Ferrous sulfate or ferrous fumarate
3mg once or 2x a day
teeth staining
constipation
dark stools
, take w/ vitamin C
avoid w/ milk
Sickle Cell Disease Patho? - ANSWER- The RBCs do not carry the normal adult
hemoglobin, but instead carry a less effective type.
Sickling may be triggered by any stress or traumatic event, such as infection, fever,
dehydration, physical exertion, excessive cold exposure, or hypoxia
Blood becomes more viscous because the sickled cells clump together & prevent
normal blood flow to the tissues of that area.
What is the main symptom with sickle cell crisis? - ANSWER- Pain crisis results as
circulation is decreased to the area.
Pain can occur in any part of the body but is most common in the joints.
Therapeutic Management of Sickle Cell Disease? - ANSWER- Prevent crisis
Prevent infection - prophylactic antibiotics and immunizations
Support family and child
Monitor labs to determine necessity of transfusion (LFT)
Nursing Assessment Idiopathic Thrombocytopenia Purpura - ANSWER- Elicit the child's
health Hx (usually a previously healthy child who recently has developed increased
bruising, epistaxis, or bleeding of the gums).
Note Hx of blood in the stool.
Inspect for petechiae, purpura, &bruising, which may progress rapidly within the first 24
to 48 hrs of the illness.
Look at the platelets... less than 50,000
Nursing Management Idiopathic Thrombocytopenia Purpura - ANSWER- Many children
require no medical Tx except observation & reevaluation of laboratory values.
Educate the family about avoiding aspirin, (NSAIDs), & antihistamines because these
meds may precipitate the development of anemia in these children.
The use of Tylenol for pain control is more appropriate when necessary.
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