NUFT 433 EXAM 2 TEST BANK 100+ QUESTIONS WITH 100% CORRECT ANSWERS UPDATED
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Course
NUFT 433
Institution
NUFT 433
NUFT 433 EXAM 2 TEST BANK 100+ QUESTIONS WITH 100% CORRECT ANSWERS UPDATED
CVA management in patients with sickle cell disease - Answer-~Annual transcranial doppler (2-16 years old) - monitor
~Blood transfusion to increase Hgb A and decrease Hgb B in circulation
~High risk/hx of CVA: blood exc...
NUFT 433 EXAM 2 TEST BANK 100+
QUESTIONS WITH 100% CORRECT
ANSWERS UPDATED 2024-2025
CVA management in patients with sickle cell disease - Answer-~Annual transcranial
doppler (2-16 years old) - monitor
~Blood transfusion to increase Hgb A and decrease Hgb B in circulation
~High risk/hx of CVA: blood exchange transfusion to filter out sickled cells
SCD treatment - Answer-Hematopoetic stem cell transplant - only cure
Penicillin PO qday
Immunizations
Avoid contact sports if still have spleen (risk for trauma --> rupture)
Hydration is VERY important
Treatment for hereditary clotting disorderes (hemophilia/ VW) - Answer-A:
-Recombinant factor VIII
-DDAVP (desopressin)
B:
- Factor IX stimulants
WV:
-VW concentrate
-DDAVP
-Cotricosteroids for hemarthritis
- Factor concentrates (Prophylactic weekly/monthly regiments for severe cases OR
when trauma)
- Avoid NSAIDs, aspirin
Nursing management of active bleeding in patients with hemophilia - Answer-Apply
pressure for 15 minutes
Elevate and immobilize extremity
Replacement factors
Cold packs for 24-48 hours
Hemophilia vs Von Willebrand disease - Answer-Hemophilia: more severe, males,
deficiency in factors 8,9
VW: most common, mild bleeding, males and females, deficiency in VW factor -->
inability of platelets to aggregate
,S/S of DIC - Answer-hemoptysis, purpura, oozing of blood, frank bleeding, tachycardia,
hypotension
DIC disease process - Answer-Sepsis --> abnormal activation of clotting systems
--> clots form in small vessels all throuout the body
--> excess in prothrombin --> depletion of clotting factors --> low platelets, high risk for
bleeding
Procedure for autologous HSCT - Answer-- Only if a pt does not have bone marrow
cancer
- Intense chemo/radiation to destroy bone marrow pre-transplant
- Autologous transplant
Procedure for allogenic HSCT - Answer-- HLA match
- Pre-transplant chemo/radio tp destroy bone marrow
- IV transplant of donor stem cells
Nursing considerations for HCST - Answer--Strict reverse isolation
- Sterilization of objects in room
- Extreme bleeding and infection precautions
- Monitor for rejections within 100 days of transplant (day 0 is when they first get cells)
- Immunosuppressants to prevent rejection
- TPN
- Blood transfusions
- Prophylactic atbx
S/S of graft vs host disease - Answer--Acute: Pruritic and painful rash, diarrhea,
abdominal pain
-Chronic: SOB, cough, muscle weakness
CBC indicators for pediatric cancers - Answer-WBC: high or low
Platelets: 100,000 or lower
ANC <1000
Nursing considerations for bone marrow aspiration in kids - Answer-EMLA prior,
propofol (milk of amnesia) sedation
Posterior/anterios iliac crest, or tibia
After: pressure for 10 minutes, then pressure dressing
Nursing considerations for lumbar puncture in kids - Answer-EMLA prior
Sedation during
Sidelying, head down, knees up
Lie flat after for 4-8 hrs
, Nursing considerations for radiation therapy in kids - Answer-Skin care for sites marked,
no creams, sun protection
Nursing considerations for chemotherapy in kids - Answer-~PPE when handing
~Antiemetics prior, pain meds on schedule
~Oral care, soft toothbrush, check for ulcerations, antifungal/atb/lidocaine rinses
~Neutropenic precautions
~DO NOT give ibuprofen
~Let eat whatever they want, sometimes g tube needed
Tumor lysis syndrome lab findings - Answer-Hyperuricemia
Hyper K
Hyper P
Hypo Ca
Hypo Na
Treatment for tumor lysis syndrome - Answer-Fluids/electrolytes
Allopurinol
Furosemide
May need dialysis
Nursing care with tumor lysis syndrome - Answer-Hydration
I/Os, daily weighing
EKG monitoring
Monitor urine specific gravity and pH
Urine specific gravity and pH ranges - Answer-Gravity: 1.005-1.030 (report anything
below 1.010)
pH: 6-7.5 (report above 7)
Major risk factor for septic shock in pediatric oncology - Answer-Neutropenia
(ANC<1000)
Nursing considerations with septick shock - Answer-1. Priority: CBC and blood cultures!
2. Start atbx ASAP + fluids
S/S of septic shock - Answer-~hyper or hypothermia
~hypotension
~tachycardia
Radiation therapy for pediatric brain tumors - Answer-Only if patient is 3 years or older
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