NUR 347 Exam 2 Review Questions and Correct Answers
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Course
NUR 347
Institution
NUR 347
What causes iron deficiency anemia? dec RBC production b/c of dec iron low iron decreases carrying capacity of RBCs
what are manifestations of iron deficiency anemia? dec serum albumin, globulin, transferrin Glossitis (inflam of tongue) "spoon" fingernails
How do you treat iron deficiency anemia?...
NUR 347 Exam 2 Review Questions and
Correct Answers
What causes iron deficiency anemia? ✅dec RBC production b/c of dec iron
low iron decreases carrying capacity of RBCs
what are manifestations of iron deficiency anemia? ✅dec serum albumin, globulin,
transferrin
Glossitis (inflam of tongue)
"spoon" fingernails
How do you treat iron deficiency anemia? ✅diet
iron supplements
iron dextran
What is a nursing consideration for oral iron supplements? ✅take with meals and with
a straw to prevent GI upset and staining of teeth
what causes pernicious anemia? ✅B12 deficiency
How do you treat pernicious anemia? ✅b12 injections
vegetarians --> b12 supplement
What causes aplastic anemia? ✅dec production and growth of all blood cells
causes pancytopenia
can be caused by exposure to chemo/radiation
What are aplastic anemia pts at an inc risk for? ✅bleeding and infection
How do you treat aplastic anemia? ✅platelet, plasma and RBC transfusion
erythropoetin
neupogen
What causes sickle cell anemia? ✅inc RBC destruction
genetics
stress causes sickling
dec O2 carrying capacity
what are sickle cell anemia pts at an inc risk for? ✅clumping/clotting
causes tissue ischemia
What are manifestations of sickle cell anemia? ✅pain, swelling, fever, jaundice,
tachycardia, cardiac murmurs, hgb 7-10 g/dL
, How do you treat sickle cell anemia? ✅treat infection
avoid high altitude
encourage fluid intake
folic acid
during crisis: analgesic and 3-5L of fluids
What is DIC? ✅disseminated intravascular coagulation
body uses up most/all clotting factors and starts oozing/bleeding but quickly makes
more and causes clots
pt clotting and bleeding at the same time
How do you treat DIC? ✅heparin and clotting factors
What are manifestations of DIC? ✅bleeding/clotting
bleeding from invasive monitoring sites
petechia, purpura, bruising
sx of blood loss
MODS
shock
intracranial bleed
internal bleed
What are nursing implementations for DIC? ✅know risk factors and monitor carefully
notify MD ASAP
implement orders: meds, blood products, etc.
at least 1:1
What are signs of low WBCs? ✅repeat infections
What are precautions for low WBCs? ✅temp q4 hrs
no fresh flowers/plants, fuits/vegs (unless peeled)
stay away from crowds
wear a mask when out
What are signs and symptoms of low platelets? ✅inc bleeding and bruising
what are precautions for low platelets? ✅electric razors, soft tooth brush, no IM
injections, no bare feet
avoid things that may cause bleeding
What is pancytopenia? ✅all blood cells are low
What is primary HTN? ✅inc BP w/o known cause
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