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NUR254/ NUR 254 (Latest 2024/ 2023 Update) Childbearing and Child Caring Families Review| 100% Correct| Grade A- Galen $17.99   Add to cart

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NUR254/ NUR 254 (Latest 2024/ 2023 Update) Childbearing and Child Caring Families Review| 100% Correct| Grade A- Galen

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NUR254/ NUR 254 (Latest 2024/ 2023 Update) Childbearing and Child Caring Families Review| 100% Correct| Grade A- Galen

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  • October 22, 2024
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  • 2024/2025
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Exam 1: NUR254/ NUR 254 (Latest 2024/ 2023 Update)
Childbearing and Child Caring Families Review| 100%
Correct| Grade A- Galen

iron deficiency anemia - ANSWER SXS: lethargic, pallor, increased bleeding,
murmur, (tachycardia), cyanosis, polycythemia, PICA
Tx: iron rich diet, supplements
NI: cbc, 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/s: hypoxia, splenomegaly, pain, retinopathy, CVA,
chest pain,
Tx: IV, blood, abx, rest, pain meds
NI: rest, 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
Tx: platelets, desmopressin, amniocaproic acid, **replace factors**
NI: prevent bleeding, **RICE**, avoid things that can cause harm(move tables),
avoid sports, dental hygiene

Food rich in iron - ANSWER - red meat
- 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/S: infections, pain, fractures, anemia, bleeding, cell starvation, hematomas, pallor
Tx: chemo
NI: monitor cbc, **reverse isolation, AVOID FRESH fruits, veggies, flowers, no
invasive**

**nutropenia**
**STERILE**

Neuroblastoma - ANSWER **primary site is abd**

, s/s: firm non-tinder mass, resp obstruction, periorbital edema
Tx: removal of tumor, chemo, radiation
NI: monitor I&O, infection, pain, hydration, bowel function
Younger= better survival
**DO NOT PALPATE**

Osteogenic Sarcoma - ANSWER - **mostly in the LE/ near growth plate**
S/S: pain, limping, mass, swelling, fever
Tx: surgery, radiation, chemo, possible amputation
NI: s/s of chemo, skin care radiation, loose clothing, cool temps, wrap stump, stump
elevation (24hrs)

Ewing Sarcoma - ANSWER - **long and trunk bones most common**
- minimal s/s
Tx: surgery, radiation, chemo, possible amputation
NI: s/s of chemo, skin care radiation, loose clothing, cool temps, wrap stump, stump
elevation (24hrs)

Wilms tumor (nephroblastoma) - ANSWER - Most common kidney tumor in children
s/s: painless mass, firm non-tender, discovered during general care
Tx: removal of tumor, chemo, radiation
NI: monitor I&O, infection, pain, hydration, bowel function, kidney function

**DO NOT PALPATE**

Retinoblastoma - ANSWER - in the retina
s/s: white glow in pupil, strabismus, blindness
Tx: remove tumor, chemo, irradiation, cryotherapy, photocoagulation
NI: show pictures, sphere in eye, eye patch, clean eye, prosthetic,

InterCranial Pressure (ICP) - ANSWER s/s: change in personality (school age),
bulging fontanels (infant), high pitched cry, lethargy, headache, projectile vomiting,
inability to follow simple commands
Tx: drains, surgery

NI: reflexes, neuro check, **elevate HOB 30**, midline minimal stimulation, VS, I&O,
dimmed light

**tx underlying cause infection/trauma**
**seizure**
**Late s/s= DECREASED EVERYTHING**

Hydrocephalus - ANSWER s/s: lg shape head, lethargy, high pitch cry, seizures
Tx: VP shunt
NI: monitor drain, infection (abx,ebd)

**VP shunt no high picthed cry**
**monitor infection**

Decorticate posturing - ANSWER

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