NUR 326 Exam 1 Questions With Complete Solutions
12-lead ECG Correct Answer Continuous monitoring
hardwire, telemetry, lead system, ambulatory monitoring
activated Partial Thromboplastin (aPTT) Correct Answer
Specific to monitoring response to heparin tx (follow facility
protocols)
Anemia Correct Answer A low hemoglobin concentration and
a low number of RBCs
Sign of an underlying disorder
Most common hemtaologic condition
Anemia- Iron deficiency Correct Answer Results when intake
of dietary iron is inadequate for synthesis of Hgb
Most common type of anemia in all age group
S/S: unique manifestations: PICA, smooth, red tongue,
brittle/ridged nails, angular cheilosis
Anemia- Iron deficiency: Test Correct Answer Dignostic:
Decrease in Hgb, hct, RBCs, ferritin
Definitive diagnosis: bone marrow aspiration
Treatment: Oral supplementation
Anemia- Iron deficiency: Treatment Correct Answer Iron
supplementation
Take vitamin C to enhance iron absorption
Eat high fiber foods to reduce constipation
,Be aware that liquid iron preparations may stain the teeth, may
be taken through a straw or by placing spoon at the back of the
mouth and rinse mouth thoroughly after each dose
Anemia-hemolytic Correct Answer RBC have shortened life
span= decrease numbers and available O2= increase
erythropoietin
Sickle cell disease:Autosomal recessive disorder
Anemia-megaloblastic Correct Answer Erythrocytes produced
are abnormally large
These type of anemia is typically develop over months: body has
time to compensate
Anemia: Assessment Correct Answer Sensitive to hot and cold
Fatigue
Weakness
Pallor
Anemia: Planning (goals) Correct Answer Decrease fatigue
Attain/maintain-Adequate nutrition, adequate tissue perfusion
Effective management of prescribed tx plan
Absence of complications
Anemia: Treatment (interventions) Correct Answer Establish
balance between activity and rest
Limit etOH intake
Diet specific intervention
Transfusions/IV fluids
, Supplemental O2
Monitor VS
Angina *** Correct Answer Insufficient cardiac blood flow,
oxygen demand is greater than supply
Stable angina: occurs with exercise and is relieved by rest or
nitroglycerine
Unstable angina: occurs with exercise or rest, but increases in
occurrence, severity, and duration over time
Variant (Prinzmental's) angina: due to coronary artery spams,
often occurring during periods of rest
Arterial Embolus Correct Answer A blood clot, fatty deposit,
or air that travels through blood, lodges in an artery, and back
flows
Causes: venous stasis, large embolus, possible embolism,
occluded artery, atherosclerosis artery
Arterial Embolus: Considerations Correct Answer
Neurovascular assessment
Pain, pallor, pulselessness, paresthesia, poikilothermia, paralysis
Arterial Embolus: Manifestation Correct Answer Immediate
effect = cessation of distal blood flow
Diagnostic: typically diagnosis based on pt report of sudden S/S
& and apparent source for embolus
12-lead ECG Correct Answer Continuous monitoring
hardwire, telemetry, lead system, ambulatory monitoring
activated Partial Thromboplastin (aPTT) Correct Answer
Specific to monitoring response to heparin tx (follow facility
protocols)
Anemia Correct Answer A low hemoglobin concentration and
a low number of RBCs
Sign of an underlying disorder
Most common hemtaologic condition
Anemia- Iron deficiency Correct Answer Results when intake
of dietary iron is inadequate for synthesis of Hgb
Most common type of anemia in all age group
S/S: unique manifestations: PICA, smooth, red tongue,
brittle/ridged nails, angular cheilosis
Anemia- Iron deficiency: Test Correct Answer Dignostic:
Decrease in Hgb, hct, RBCs, ferritin
Definitive diagnosis: bone marrow aspiration
Treatment: Oral supplementation
Anemia- Iron deficiency: Treatment Correct Answer Iron
supplementation
Take vitamin C to enhance iron absorption
Eat high fiber foods to reduce constipation
,Be aware that liquid iron preparations may stain the teeth, may
be taken through a straw or by placing spoon at the back of the
mouth and rinse mouth thoroughly after each dose
Anemia-hemolytic Correct Answer RBC have shortened life
span= decrease numbers and available O2= increase
erythropoietin
Sickle cell disease:Autosomal recessive disorder
Anemia-megaloblastic Correct Answer Erythrocytes produced
are abnormally large
These type of anemia is typically develop over months: body has
time to compensate
Anemia: Assessment Correct Answer Sensitive to hot and cold
Fatigue
Weakness
Pallor
Anemia: Planning (goals) Correct Answer Decrease fatigue
Attain/maintain-Adequate nutrition, adequate tissue perfusion
Effective management of prescribed tx plan
Absence of complications
Anemia: Treatment (interventions) Correct Answer Establish
balance between activity and rest
Limit etOH intake
Diet specific intervention
Transfusions/IV fluids
, Supplemental O2
Monitor VS
Angina *** Correct Answer Insufficient cardiac blood flow,
oxygen demand is greater than supply
Stable angina: occurs with exercise and is relieved by rest or
nitroglycerine
Unstable angina: occurs with exercise or rest, but increases in
occurrence, severity, and duration over time
Variant (Prinzmental's) angina: due to coronary artery spams,
often occurring during periods of rest
Arterial Embolus Correct Answer A blood clot, fatty deposit,
or air that travels through blood, lodges in an artery, and back
flows
Causes: venous stasis, large embolus, possible embolism,
occluded artery, atherosclerosis artery
Arterial Embolus: Considerations Correct Answer
Neurovascular assessment
Pain, pallor, pulselessness, paresthesia, poikilothermia, paralysis
Arterial Embolus: Manifestation Correct Answer Immediate
effect = cessation of distal blood flow
Diagnostic: typically diagnosis based on pt report of sudden S/S
& and apparent source for embolus
