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NUR 172 Final Exam/100 Complete Q’s and A’s
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NUR 172 Final Exam/100 Complete Q’s andA’s
What is thrombocytopenia? - - low platelet count
- What are granulocytes? - - neutrophils, eosinophils, basophils ( Big
takeway is that they are WBC's)
- Teaching for Iron supplements - - -Take on an empty stomach
- Take 1-2 hours before meal
- Can turn front teeth red
- Cancer - patient teaching regarding social interaction and precautions - - -
Wash hands
- Wear a mask
- Limit interaction too less than 30 minutes
- Difference between chemotherapy and radiation - - - Chemotherapy
spreads throughout the whole body and kills everything
- Radiation is localized.
- What stage is HIV declared AIDS? - - Stage 3
- Normal vs AIDS CD4 Levels - - When the CD4 count drops below 200, a
person is diagnosed with AIDS. A normal range for CD4 cells is about 700-
1,000
- Define acquired immunity - - An immunity that develops before birth and
throughout the lifetime of the individual
- Digoxin (Lanoxin) - teaching, levels, and OD symptoms - - - contact health
care professional before taking medication if pulse rate is <60 or >100.
- Watch levels normal 0.8-2.0
- Toxicity symptoms include nausea, vomiting, abdominal pain
- What is MCV? - - mean corpuscular volume. There are three main types of
corpuscles (blood cells) in your blood-red blood cells, white blood cells, and
platelets.
- Normal MCV range - - 80-100
- MCV > 100 means what? - - Macrocytic anemia. Common causes include;
B12 deficiency, Folic acid deficiency, EtOH abuse, or liver disease
, - What lab is tested to determine anemia? What are the normal M/F levels
for anemia? - - Hemoglobin
Male <13
Female <12
- MCV is between 80-100, what is your next step? If this test is greater than
1.3 what are you thinking? - - Check creatinine. If creatinine > 1.3 you need
a renal consult for CKD
- MCV is < 80 what is your next step? What do you do if these two tests
come back low? - - Iron studies:
Ferritin (is a protein that contains iron and is the primary form of iron stored
inside of cells) <15 ng/ml
TSTAT ( you get this by dividing the serum iron level by the total iron-binding
capacity. The total iron-binding capacity correlates with circulating
transferrin, which is the major iron-binding protein in plasma.) < 20%
LOW -
* Give iron supplements (IV or PO)
* Consider EPO is surgery anticipated
* Treat cause if iron deficiency anemia is confirmed.
Examples; GI blood loss, menorrhagia, pregnancy, insufficient intake.
- MCV > 100 what is your next step? - - Assess for;
B12 deficiency
Folate dificiency
EtoH abuse
Liver disease
Hypothyroidism
- MCV is 85 and the creatinine is 1.2. What is your next thought as a nurse? -
- is the reticulocyte (baby RBC without a nucleus) normal?
- MCV is 85, creatinine is 1.2, and the reticulocyte count is normal between
0.5-1.5%. What is your next thought as the nurse? What do you need too rule
out? - - Rule out blood loss
Rule out hemolysis
Iron
Consider EPO
- MCV is 85, creatinine is 1.2, and the reticulocyte count is 0.2%. What are
you evaluating for? How is this normally treated? - - Anemia of a chronic
disease
* TSTAT <20
* Decrease in RBC lifespan
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