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Nur 195 Test 2 | Questions And Answers Latest {} A+ Graded | 100% Verified $13.48   Add to cart

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Nur 195 Test 2 | Questions And Answers Latest {} A+ Graded | 100% Verified

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Nur 195 Test 2 | Questions And Answers Latest {} A+ Graded | 100% Verified

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Nur 195 Test 2 | Questions And Answers Latest {2024- 2025} A+ Graded |
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Hematologic and Immune Function - found under the CBC panel



How many liters of blood are in the body? - 5-6 liters



RBCs live in the body - for 120 days



Erythrocytes - small RBCs



Leukocytes - white blood cells



Thrombocytes - platelets



Hematopoiesis - production of blood cells in the bone marrow



Hemostasis - stops or control bleeding, clotting mechanism



stem cells - unspecialized cells



renew themselves for long periods of time by cell division



Myeloid - bone marrow



lymphoid - lymph tissue (node)



antibodies and antigens - 2 important components of the immune system

,What do you assess for in patients with a low hemoglobin and hematocrit??? - Fatigue

Dyspnea

Activity intolerance

Difficulty concentrating

Pallor

Jaundice- sickle cell anemia

Tachycardia

tinnitus



What do you assess for in patients with a low white blood cell count? - Absolute neutrophil count (ANC)



<500/mm3 Severe neutropenia



Total WBC (%segs +%bands) =ANC



Signs of infection



Neutrophils - Most abundant WBC

are the 1st to arrive for defense



Immunocompromised patients who normally get neutropenia - patients on certain medicines

HIV/AIDS

cancer



What do you assess for in patients who are at risk for bleeding? - *Platelet count

*Petechiae- tiny red spots

*Ecchymosis-bleeding (looks like a bruise under the skin) pt normally doesn't know where bruise came
from

*Bleeding gums

,*Hypotension-indicate internal bleeding

*Neuro changes



Thrombocytopenia - Platelet count < 100,000/mm3

(potential for bleeding)



What do you assess for while caring for patients with autoimmune disorders? - *Non specific

*Impaired wound healing

*Recurrent infections

*Overreaction of autoimmune system-when the body attacks itself

*Medical history

*Family history

*Nutrition status

*Medications- immunosuppressants (steroids)



Gerontologic Considerations related to hematologic and immune function - Higher risk for anemia
because bone marrow is depressed, happens with less exercise



Risk for leukopenia



Increase risk for infection



Decrease response to antigens (the fight starters)



CBC (complete blood count) diagnostic tests - WBC with differential

Hemoglobin and Hematocrit

Platelets

Red blood cells (RBC)

, Peripheral blood smear diagnostic test - Mean corpuscular volume (MCV)



Diagnostic tests related to hematologic and immune function - Bone marrow aspiration and biopsy

Skin testing



Hgb (male) - 14-18 g/dL



Hgb (female) - 12-16 g/dL



Platelet count should be - 150,000-400,000/mm3



WBC count should be - 5,000-10,000/mm3



RBC count should be - 4-5.5 million



Iron deficiency anemia - results when there is not enough iron to build Hgb for RBCs



Due to Diet

Blood loss

Chronic ETOH ( alcohol abuse)

low (MCV) mean corpuscular volume



vitamin B12 deficiency - pernicious anemia



Increased intake or decreased absorption from GI tract



s/sx of anemia



neurologic symptoms (paresthesias of extremities)

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