- Study guides, Revision notes & Summaries

1. Iron deficiency typically manifests as: A. Macrocytic, normochromic anemia. B. Microcytic, hypochromic anemia. C. Microcytic, normochromic anemia. D. Normochromic, normocytic anemia. - correct answer Answer/Rationale: 1. B. Iron deficiency results in the development of cells that are smaller in size (microcytic) and more pale in color (hypochromic) due to the lack of Hgb during cell synthesis. In the early phases of iron deficiency, cells may actually remain normocytic and normochromic be...

The primary care pediatric nurse practitioner reviews a child's complete blood count with differential white blood cell values and recognizes a "left shift" because of what event? a. A decreased eosinophil count. b. A decreased lymphocyte count. c. An elevated monocyte count. d. An elevated neutrophil count. - correct answer ANS: D A left shift occurs when there is an increase in the number of circulating immature neutrophils and indicates a bacterial infection or an inflammatory disorde...

Worldwide, which of the following is the most common type of anemia? A. pernicious anemia B. folate-deficiency anemia C. anemia of chronic disease D. iron-deficiency anemia - correct answer D. iron-deficiency anemia Most of the body's iron is obtained from: A. animal-based food sources. B. recycled iron content from aged red blood cells (RBCs). C. endoplasmic reticulum production. D. vegetable-based food sources - correct answer B. recycled iron content from aged red blood ce...

When treating a patient for iron deficiency anemia, she complains that the iron supplements have been causing constipation. What solutions might you suggest to help the patient increase her iron absorption as well as her tolerance for the supplement? Select all that apply. Consume adequate dietary fiber Consume more nuts and berries Take iron tablets with vitamin C Avoid taking antacids - correct answer Increasing dietary intake of iron-rich foods alone is not generally recomme...

An oncology nurse is providing health education for a patient who has recently been diagnosed with leukemia. What should the nurse explain about commonalities between all of the different subtypes of leukemia? A) The different leukemias all involve unregulated proliferation of white blood cells. B) The different leukemias all have unregulated proliferation of red blood cells and decreased bone marrow function. C) The different leukemias all result in a decrease in the production of white bloo...

The nurse is caring for clients on an oncology unit. Which neutropenia precautions should be implemented? 1. Hold all venipuncture sites for at least five (5) minutes. 2. Limit fresh fruits and flowers. 3. Place all clients in reverse isolation. 4. Have the clients use a soft-bristle toothbrush. - correct answer 2. Limit fresh fruits and flowers. **holding venipuncture site would be for thrombocytopenia **reverse isolation would be for patients with SEVERE neutropenia **soft-bristl...

A 26 yr old women presents with koilonychia. What do you suspect? - correct answer Koilonychia (flat brittle spoon shaped nails) are often seen in Iron Deficiency Anemia What is the advantage and disadvantage of the COX-2 inhibitor Celebrex compared to other NSAIDs? - correct answer Celebrex reduce the risk of GI bleed but increase cardiovascular risk! What 5 things should you monitor in an elderly patient taking NSAIDs long term? - correct answer 1. Renal dysfunction 2. Platelet dysfunct...

An 88-year-old presents with right-side weakness after being unable to rise unassisted following a fall to the bathroom floor. History includes aphasia and noncompliance with hypertension medication regimen. What is the most likely diagnosis? Left-sided or right-sided CVA? - correct answer LEFT-SIDED CVA Which of the following signs/symtpoms are often associated with headahces due to intracranial tumor? 1) pain worse laying down, focal neurological signs 2) Hyperflexia, personality cha...

1. An older adult presents with severe abdominal pain. The husband reports that earlier in the afternoon, the patient's abdominal hernia had been firm and bulged out 4 inches (10.2 cm). The patient had him press on the hernia and immediately felt burning pain throughout the abdomen. Which of the following is the nurse practitioners' NEXT action? 1. Abdominal CT scan 2. Complete blood count with differential 3. Abdominal ultrasound 4. Referral to the ED - correct answer 4. Referral to the...

AANP Test 2 For Boards Exam With Complete Solutions