GNRS 556 med surg exam 2 questions
and answers 2024
bestzone
GNRS
8/22/24
, GNRS 556 med surg exam 2
risk factors for developing anemia - -deficient nutrients (iron, vitamin B12, folic acid)
-decreased erythropoietin (kideny)
-decreased iron availability (liver)
-blood loss (hemorrhage, colorectal cancer, liver disease, trauma, aortic aneurysm, GI
bleed)
-hemolysis (sickle cell, meds, incompatible blood, trauma)
Iron deficiency anemia causes - -inadequate dietary intake
-intestinal malabsorption (Crohn's, Celiac, surgery)
-blood loss (chronic through GI/GU systems) - menstruation
-Hemolysis
-Pregnancy (increased demand for iron)
-anticonvulsants (can either affect bone marrow or cause hemolysis)
iron deficiency anemia clinical manifestations - -pallor
-weakness
-fatigue
-fissure on mouth
iron deficiency anemia treatment - -treat underlying disease
-increase intake of iron (shellfish, spinach, red meat, liver, broccoli, tofu, legumes, fish)
-transfusion of packed RBCs if severe
iron deficiency anemia nursing considerations - -assess patient's diet, history of
hemorrhage
-conduct physical exam to look for symptoms
-administer prescribed meds
-reduce fatigue for patient
-prevent infection & bleeding
Pernicious anemia causes - -lack of intrinsic facto production by parietal cell
GNRS 556 med surg exam 2
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