FNP 654 Questions Solved with 100% Correct
Answers
Folic Acid Deficiency signs Laboratory/Diagnostics - Answer Hct and RBC decreased
Serum folate decreased
MCV elevated (macrocytic)
Red blood cell folate < 100 ng/mL
MCHC normal (normochromic)
Folic Acid Deficiency Management - Answer Folate 1 mg orally every day
Foods high in folic acid: Bananas, peanut butter, fish, green leafy vegetables, iron
fortified breads and cereals
Pernicious Anemia - Answer A macrocytic, normochromic anemia due to deficiency of
intrinsic factor, which results in malabsorption of B12
Pernicious Anemia Signs/Symptoms - Answer Weakness
Paresthesia
Glossitis
Loss of vibratory sense
Palpitations
Loss of fine motor control
Dizziness
Positive Romberg Anorexia
Positive Babinski
Pernicious Anemia Laboratory/Diagnostics - Answer Hgb, Hct, and RBCS |
, MCV increased (macrocytic)
Serum B12 1 (< 0.1 µg/ml)
Anti-IF (intrinsic factor) and antiparietal cell antibody tests affirm a deficiency.
Schilling test may help to determine the cause.
Pernicious Anemia Management - Answer B12 (cyanocobalamin) 100 ug IM daily x 1
week
Maintenance treatment requires continuous lifelong monthly administration.
Anemia of Chronic Disease - Answer Anemia of Chronic Disease Chronic normocytic,
normochromic anemia associated with chronic inflammation, infection, renal failure,
and malignancy
Anemia of Chronic Disease Cause - Answer Etiology unclear: Involves decreased
erythrocyte life span Second most common cause of anemia
Anemia of Chronic Disease Signs/Symptoms 1. - Answer Fatigue
Weakness
Dyspnea on exertion
Anorexia
Anemia of Chronic Disease Laboratory/Diagnostics - Answer Hgb and Hct low
Serum iron and TIBC low
MCV normal (normocytic)
Serum ferritin is high (> 100 ng/mL)
MCHC normal (normochromic)
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