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NR 328 Latest Exam 3 Questions With Guaranteed Pass Solutions.

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  • NR 328

Iron Supplementation - Answer - limit milk intake (24 oz) - stool might be black/green/tarry - give with vitamin c - use dropper or straw to avoid discoloring teeth - do not give with dairy - fatal in overdose Chelating Agents - Answer removes iron if there's too much Anemia: Diet ...

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  • November 20, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NR 328
  • NR 328
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NR 328 Latest Exam 3 Questions With
Guaranteed Pass Solutions.
Iron Supplementation - Answer - limit milk intake (24 oz)

- stool might be black/green/tarry

- give with vitamin c

- use dropper or straw to avoid discoloring teeth

- do not give with dairy

- fatal in overdose



Chelating Agents - Answer removes iron if there's too much



Anemia: Diet (AVOID) - Answer avoid milk and vegan diets



Anemia: Assessment - Answer - pallor

- fatigue

- overweight "milk baby"

- pica habit



Anemia: Lab Values - Answer - decreased hemoglobin

- low serum iron

- elevated total iron binding capacity



Anemia: Diet (INCLUDE) - Answer - meat

- leafy greens

- fish

- liver

- whole grains

,- legumes



Anemia: Transfusions - Answer - consent

- must be checked with 2 RNs

- vitals Q15 after started and then Q1hr

- stay with patient for first 15 min



Blood Transfusion: S/S of Reaction - Answer - anxiety

- pain at infusion site

- crying

- flank pain

- temperature increased by more than 1 degree F

- stop immediately - flush IV and hang new bag of saline

- start within 30 minutes and finish in 4 hours



Sickle Cell: Care - Answer - minimize energy output

- hydration

- pain relief (no ice)

- prevent infection

- monitor I&O

- oxygen if hypoxic



Sickle Cell: Teaching - Answer - call HCP if temp is >101

- give fluids before bed (enuresis is normal)

- avoid contact sports

- do not refuse meds, they're in pain, not addicted

- NO meperidine (demerol) can cause seizures

, Thalassemia: Treatment - Answer frequent transfusions can lead to iron overload-chelation therapy is
used (deferoxamine)



Hemophilia: Labs - Answer - PTT is prolonged

- type A - factor 8 deficiency

- type B - factor 9 deficiency



Prevention of Bleeding in Hemophilia - Answer - soft tooth brush

- notify dentist

- electric razor

- pressure and ice for 15 min for superficial bleeding

- transfusions

- RICE

- active ROM after bleeding stops



RICE - Answer - rest

- ice

- compression

- elevate



Hemophilia and Joint Injuries - Answer - avoid obesity (joint injuries)

- bleeding into joint spaces - leads to impaired mobility

- bleeding into neck, chest, mouth = airway concern



Idiopathic Thrombocytopenia - Answer - acquired hemorrhagic disorder

- safe environment

- destruction of platelets

- URI

- restrict activity while platelets are low

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