NUR 230 Concepts of Nursing: The Childbearing/Child Caring Family -Galen College of Nursing_ Exam 4 Study Guide Final Exam Peds/Maternity

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NUR 230 Concepts of Nursing: The Childbearing/Child Caring Family -Galen College of Nursing_ Exam 4 Study Guide Final Exam Peds/Maternity Final Exam Peds/Maternity Sickle Cell Anemia: - Dx = Newborn... Screening - Patient having extreme leg or abdominal pain = Give Morphine - Patient with pain and fever = Blood culture to test for infection - NO CURE, but possible bone marrow transplants - If a patient with sickle cell is in pain and has had pain med but still has a headache….CALL MD… patient could be having a stroke and needs a CT scan: on test - Management = KEEP HYDRATED and TREAT PAIN this exact answer option was on the test o No strenuous exercise, no high altitudes, get annual vaccines, and take folic acid supplement Hemophilia: - Absence of a protein in coagulation - Management = Joint pain or swelling…. COLD COMPRESS Leukemia: - Question asked what should you do for a child with leukemia? Allow them to play with other kids that do not experience fear? This is what I put. You wouldn’t want them in isolation. - Most common childhood cancer - Acute lymphoid = Young children o Chemo and radiation …. If child fails to stay in remission, they become candidate for bone marrow transplant - Expected findings = low O2, low energy level, low WBC, low platelet - S/S = petechia, joint pain, and headache that won’t go away due to increased ICP - Teachings: o Chemo  Cool, Clear liquids or ice chips  Use soft sponge toothbrush  Watch for ulcers and monitor blood pressure  IF reaction to chemotherapy… first STOP the pump, then flush the line and call the MD: on test  Child may take Zofran for n/v Infection Control: - Best way to prevent spread of infection…..HAND WASHING - It wanted to know the priority intervention. The other interventions were important, like keep patient isolated, cover the area, use bacterial ointment, but hand washing is the answer Wilms Tumor: - Tumor in the kidney (usually unilateral, encapsulated) /- S/S = Weight loss, abdominal swelling - NEVER PALPATE THE ABDOMEN WHEN THIS IS SUSPECTED - Tx = Removal of kidney o POST OP  Priority Assessment = I/O’s  Chemo and Radiation  Monitor Blood Pressure Osteosarcoma: - Bone cancer - Most common in long bones of the lower extremities - Bones such as the femur? This was an answer option - Tx = Limb Salvage Procedure Retinoblastoma: [Show More]

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