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RNSG 1443 Blood Disorders Test 4 Questions With Complete Solutions

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RNSG 1443 Blood Disorders Test 4 Questions
With Complete Solutions
.How is multiple myeloma treated/managed? Correct Answer
Seldom cured, but treatment can relieve symptoms, produce
remission, and prolong life. Chemotherapy is usually the first
treatment recommended for multiple myeloma. Maintaining
adequate hydration is a primary nursing consideration to
minimize problems from hypercalcemia. Because of the
potential for pathologic fractures, care must be taken when
moving and ambulating the patient

A careful review of the patient's history should be done to
determine the cause. What things can cause a platelet disorder
that can be revealed through talking to the patient? Correct
Answer Are they on chemotherapy? Taking aspirin? Taking
herbal supplements or drinking tonic water?
•Chemotherapy- (Myelosuppressive)
•Taking aspirin - alters platelet aggregation
•Foods, herbal supplements, tonic water

Acquired hemolytic anemia
_________
•Increased what?
•Hemolysis of RBC's from what? Correct Answer •Increased
RBC destruction
•Hemolysis of RBCs from intrinsic factors

Acute and chronic anemia CAUSED BY BLOOD LOSS
Correct Answer ...

,Acute blood loss
_______
•Results from what? Correct Answer Results from sudden
hemorrhage:
- Trauma, complications of surgery, conditions or diseases
which disrupt vascular integrity

Anemia Correct Answer •Deficiency in the number of
erythrocytes (RBCs)
•The quantity of hemoglobin....and/or the
•Volume of packed RBCs (hematocrit).

Not a specific disease; it is a manifestation of a number of
pathologic processes.

Anemia caused by increased ERYTHROCYTE
DESTRUCTION Correct Answer ...

Anemia of inflammation -
Anemia of chronic disease Correct Answer ...

Are folic acid levels normal in vitamin B 12 deficiencies?
Correct Answer Yes

Are platelet disorders inherited or acquired?
What things can cause it? (3) Correct Answer They can be both
inherited and acquired:
•Chemotherapy- (Myelosuppressive)
•Taking aspirin - alters platelet aggregation
•Foods, herbal supplements, tonic water

,Are Reed-Sternberg cells involved in NON-Hodgkin's
lymphoma? Correct Answer No!

As far as diagnostics for hemachromatosis go? What will the
physical exam reveal? Correct Answer •Enlarged spleen and
liver
•Pigmentation changes in the skin... Bronzing

Because of the INCREASED #'s of RBC's, WBC's and Platelets
that you have in your blood with Polythemia (polycythemia),
what happens with the amount/thickness of your blood? (2
things) Correct Answer It becomes thicker
(HYPERVISCOSITY)
and
There is more of it (HYPERVOLEMIA)

Bence-Jones proteins Correct Answer What is the name of the
protein that is abundant in the patients with multiple myeloma?

Can non-Hodgkin's lymphoma originate outside lymph nodes?
Correct Answer Yes

Can you have Vitamin B12 absorption without IF (intrinsic
factor)? Correct Answer No!!! .....Therefore, Cobalamin
Deficiency

Causes of cobalamin (vit B 12) deficiency Correct Answer
•Pernicious anemia - (most common) gastric mucosal not
secreting IF
•GI surgeries (stomach, small bowel resecroom) and GI diseases

, •Nutritional deficiencies, strict vegetarians
•Chronic alcoholism
•Hereditary Enzymatic defects of vitamin B 12 utilization
•Chronic use of age to histamine receptor blockers and PPI's

Characteristics of PRIMARY polythelia vera (polycythemia
vera)
________________
•Is it chronic (on going) or a short-term thing?
•What causes it?
•What 3 things in the blood are increased? Correct Answer •Is
chronic
•Has DNA mutations what causes it
•Has increased RBCs, WBCs and platelets

Characteristics of SECONDARY Polythemia vera Correct
Answer Long-term exposure to low oxygen levels causes
secondary polycythemia (hypoxia)

Chronic blood loss
_________
•What can cause it?
•It leads to depletion of what?
•Supplement with what? Correct Answer •Bleeding ulcer,
hemorrhoids, menstrual blood loss, etc.
•Leads to depletion of iron stores
•Identify and stop the source
•Supplement with iron

Chronic blood loss...what is it similar to? Correct Answer
Similar to iron - deficiency anemia

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