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NURS 535 Exam 2 Flashcards QUESTIONS AND CORRECT ANSWERS

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NURS 535 Exam 2 Flashcards (QUESTIONS AND CORRECT ANSWERS) What is polycythemia? What is anemia? What is the etiology of anemia? What is mean cell volume (MCV)? What is mean cell hemoglobin (MCH)? What is mean cell hemoglobin concentration (MCHC)? What is red blood cell distribution width (...

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  • February 27, 2024
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  • 2023/2024
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NURS 535 Exam 2 Flashcards (QUESTIONS AND
CORRECT ANSWERS)

1). What is polycythemia?

 Ans: too many RBCs


2). What is anemia?

 Ans: Reduction in the total number of erythrocytes in the circulating blood or in the
quality or quantity of hemoglobin


3). What is the etiology of anemia?

 Ans: • Impaired erythrocyte production
• Acute or chronic blood loss
• Increased erythrocyte destruction
• Combination of the above


4). What is mean cell volume (mcv)?

 Ans: Average volume of RBC in cubic micrometers


5). What is mean cell hemoglobin (mch)?

 Ans: Average content of Hb per RBC


6). What is mean cell hemoglobin concentration (mchc)?

 Ans: average concentration of Hb in given volume of packed RBCs in gm/dL


7). What is red blood cell distribution width (rwd)?

 Ans: Coefficient of variation of RBC volume


8). What is the size of a rbc?




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,  Ans: normocytic, microcytic, macrocytic


9). What is the color of a rbc?

 Ans: degree of hemoglobination- normochromic, hypochromic


10). What is the shape of a rbc?

 Ans: spherocytosis, elliptocytosis


11). What is anisocytosis?

 Ans: Red cells are present in various sizes


12). What is poikilocytosis?

 Ans: Red cells are present in various shapes


13). What is the physiologic manifestation of anemia?

 Ans: Reduced oxygen carrying capacity


14). What are classic anemia symptoms?

 Ans: fatigue, weakness, dyspnea, pallor


15). What causes anemia?

 Ans: Due to hypoxemia and tissue hypoxia


16). What is the effect of anemia on the cardiovascular system?

 Ans: Increased preload, heart rate, and stroke volume;
reduced afterload


17). What is the effect of anemia on the respiratory system?

 Ans: dyspnea




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, 18). What is the effect of anemia on the nervous system?

 Ans: myelin degeneration


19). What is the effect of anemia on the gi system?

 Ans: pain, nausea, vomiting, anorexia


20). What is normochromic macrocytic anemia also called?

 Ans: megaloblastic anemia


21). What is normochromic macrocytic anemia?

 Ans: an anemia in which the red blood cells (erythrocytes) are larger than their normal
volume.


22). What causes normochromic macrocytic anemia?

 Ans: Defective DNA synthesis due to deficiencies in vitamin B12 or folate (coenzymes
for nuclear maturation and the
DNA synthesis pathway)


23). What happens to rna in normochromic macrocytic anemia?

 Ans: RNA processes occur at a normal rate which results in unequal growth of the
nucleus and cytoplasm


24). What causes pernicious anemia?

 Ans: a lack of intrinsic factor from the gastric parietal cells which is required for
vitamin B12 absorption. Results in vitamin B12 deficiency


25). What are the symptoms in pernicious anemia?

 Ans: Typical anemia symptoms with neurologic manifestations such as nerve
demyelination. Also loss of appetite, abdominal pain, beefy red tongue (atrophic
glossitis), icterus, splenic enlargement


26). What is the treatment for pernicious anemia?




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,  Ans: Parenteral or high oral doses of vitamin B12


27). What happens to older adults with pernicious anemia?

 Ans: It is often unrecognized in older adults due to subtle, slow onset and
presentation


28). What is folate deficiency anemia?

 Ans: the lack of folic acid in the blood


29). Where is folate absorbed?

 Ans: occurs in the upper small intestine


30). What are the symptoms in folate deficiency anemia?

 Ans: Similar to pernicious anemia except neurologic manifestations generally not
seen


31). What is the treatment of folate deficiency anemia?

 Ans: requires daily oral administration of folate


32). What characterizes hypochromic microcytic anemia?

 Ans: red cells that are abnormally small and contain reduced amounts of hemoglobin


33). What is hypochromic microcytic anemia related to?

 Ans: • Disorders of iron metabolism
• Disorders of porphyrin and heme synthesis
• Disorders of globin synthesis


34). What is the most common type of anemia?

 Ans: iron deficiency anemia


35). What are the different types of iron deficiency anemia?



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