EXAM III
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| In the clotting cascade this pathway requires factors VIII, IX, XII and is released from plasma. | Intrinsic pathway
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| This pathway is initiated in response to tissue injury it requires the release of Factor III, VII and X. | Extrinsic Pathway
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| Both Pathways intrinsic and extrinsic combine to for what Factor? | FACTOR V
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| This test measures B 12 absorption before and after intrinsic factor administered to differentiate between pernicious anemia and intestinal malabsorption. A 24 hour urine is collected following radioactive vitamin B12. | Schilling's Test
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| A child with acute leukemia is started on chemo., including PREDNISONE. A side effect that may be exhibited is?? | Mood Changes. Euphoria and mood swings may result from steroid therapy.
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| The nurse is aware that METHOTREXATE accomplishes it action by: | Intervening in Mitosis, inhibiting growth of malignant cells. Generally antineoplastic drugs interfere or inhibit the synthesis of DNA in malignant cells.
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| Because of the toxicity of VINCRISTINE the nurse should expect: | Neurological symptoms. It is highly neurotoxic causing parasthesias, muscle weakness, ptosis, diplopia, paralytic ileus, vocal cord paralysis and loss of deep tendon reflexes.
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| Nursing interventions that would be appropriate to avoid the complications of neutropenia are: | Placing client in a private room, restricting all visitors and using strict handwashing techniques. Most clients die from infection, a low neutrophil count results after induction with myelosuppressant therapy.
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| A common finding in most children with cardiac anomalies is: | Delayed Physical Growth - Often use increased energy in ADL's, Dec. O2 and Inc. eenergy output in the developing child causes slow growth rate.
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| Coarctation of the aorta - nurse expects to find: | Higher BP in the upper extremeties. There is decreased blood below the constriction but increased above it.
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