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NUR 347 Exam 2 Review Questions and Correct Answers

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  • NUR 347

What causes iron deficiency anemia? dec RBC production b/c of dec iron low iron decreases carrying capacity of RBCs what are manifestations of iron deficiency anemia? dec serum albumin, globulin, transferrin Glossitis (inflam of tongue) "spoon" fingernails How do you treat iron deficiency anemia?...

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  • August 27, 2024
  • 14
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 347
  • NUR 347
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twishfrancis
NUR 347 Exam 2 Review Questions and
Correct Answers
What causes iron deficiency anemia? ✅dec RBC production b/c of dec iron
low iron decreases carrying capacity of RBCs

what are manifestations of iron deficiency anemia? ✅dec serum albumin, globulin,
transferrin
Glossitis (inflam of tongue)
"spoon" fingernails

How do you treat iron deficiency anemia? ✅diet
iron supplements
iron dextran

What is a nursing consideration for oral iron supplements? ✅take with meals and with
a straw to prevent GI upset and staining of teeth

what causes pernicious anemia? ✅B12 deficiency

How do you treat pernicious anemia? ✅b12 injections
vegetarians --> b12 supplement

What causes aplastic anemia? ✅dec production and growth of all blood cells
causes pancytopenia
can be caused by exposure to chemo/radiation

What are aplastic anemia pts at an inc risk for? ✅bleeding and infection

How do you treat aplastic anemia? ✅platelet, plasma and RBC transfusion
erythropoetin
neupogen

What causes sickle cell anemia? ✅inc RBC destruction
genetics
stress causes sickling
dec O2 carrying capacity

what are sickle cell anemia pts at an inc risk for? ✅clumping/clotting
causes tissue ischemia

What are manifestations of sickle cell anemia? ✅pain, swelling, fever, jaundice,
tachycardia, cardiac murmurs, hgb 7-10 g/dL

, How do you treat sickle cell anemia? ✅treat infection
avoid high altitude
encourage fluid intake
folic acid
during crisis: analgesic and 3-5L of fluids

What is DIC? ✅disseminated intravascular coagulation

body uses up most/all clotting factors and starts oozing/bleeding but quickly makes
more and causes clots
pt clotting and bleeding at the same time

How do you treat DIC? ✅heparin and clotting factors

What are manifestations of DIC? ✅bleeding/clotting
bleeding from invasive monitoring sites
petechia, purpura, bruising
sx of blood loss
MODS
shock
intracranial bleed
internal bleed

What are nursing implementations for DIC? ✅know risk factors and monitor carefully
notify MD ASAP
implement orders: meds, blood products, etc.
at least 1:1

What are signs of low WBCs? ✅repeat infections

What are precautions for low WBCs? ✅temp q4 hrs
no fresh flowers/plants, fuits/vegs (unless peeled)
stay away from crowds
wear a mask when out

What are signs and symptoms of low platelets? ✅inc bleeding and bruising

what are precautions for low platelets? ✅electric razors, soft tooth brush, no IM
injections, no bare feet
avoid things that may cause bleeding

What is pancytopenia? ✅all blood cells are low

What is primary HTN? ✅inc BP w/o known cause

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