NUR 254 Exam 4 - Answer SXS lethargic, pallor, increased bleedin...

NUR 254 Exam 4

• iron deficiency anemia

Answer SXS lethargic, pallor, increased bleeding, murmur, (tachycardia), cyanosis, polycythemia, PICA

Txiron rich diet, supplements NIcbc, coagulation, food diary, fix underlying cause, maintain o2, hydration, tx infection/bleeding, **avoid with dairy, take with citrus**

**most common**

• sickle cell anemia

Answer s/shypoxia, splenomegaly, pain, retinopathy, CVA, chest pain,

TxIV, blood, abx, rest, pain meds NIrest, hydrate, oxygenate, abx, electrolyte imbalance, avoid stress/infection, pain mgmt, education

**HA, SOB, FEVER**

• Hemophilia

Answer SXS pallor, fatigue, weakness, cool skin, tachycardia, decreased peripheral pulse, low BP, bruising

Txplatelets, desmopressin, amniocaproic acid, **replace factors** NIprevent bleeding, **RICE**, avoid things that can cause harm(move tables), avoid sports, dental hygiene

• Food rich in iron

Answer

• red meat 1 / 2

• tuna/ salmon
• eggs
• tofu
• grains
• dried beans, peas, and fruit
• leafy greens
• iron fortified cereals

• Lukemia ALL/ AML

Answer

• proliferation of immature WBC (bands)

S/Sinfections, pain, fractures, anemia, bleeding, cell starvation, hematomas, pallor Txchemo NImonitor cbc, **reverse isolation, AVOID FRESH fruits, veggies, flowers, no invasive**

**nutropenia**

**STERILE**

• Neuroblastoma

Answer **primary site is abd**

s/sfirm non-tinder mass, resp obstruction, periorbital edema Txremoval of tumor, chemo, radiation NImonitor I&O, infection, pain, hydration, bowel function

Younger= better survival

**DO NOT PALPATE**

• Osteogenic Sarcoma

Answer

• **mostly in the LE/ near growth plate** S/Spain, limping, mass, swelling, fever

Txsurgery, radiation, chemo, possible amputation NIs/s of chemo, skin care radiation, loose clothing, cool temps, wrap stump, stump elevation (24hrs)

• Ewing Sarcoma
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