CHA 1: Exam 1 Hematology Questions And Correct Answers
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CHA 1: Exam 1 Hematology Questions And
Correct Answers
Definition of anemia - answerreduction in number of RBCs, Blood hemoglobin content, or
hematocrit
*not a specific disease, occurs with many conditions such as iron deficiency, genetic disorders,
or bone marrow disease
Mild anemia
s/sx - ...
CHA 1: Exam 1 Hematology Questions And
Correct Answers
Definition of anemia - answer✔✔reduction in number of RBCs, Blood hemoglobin content, or
hematocrit
*not a specific disease, occurs with many conditions such as iron deficiency, genetic disorders,
or bone marrow disease
Mild anemia
s/sx - answer✔✔10-14 hbg
dyspnea/palpitations
moderate anemia - answer✔✔6-10 hbg fatigue dyspnea and palpitations
severe anemia - answer✔✔<6 hbg
who is at risk for anemia - answer✔✔-nutritional deficiency (B12, folic acid, iron-->diet or
malabsorption)
-blood loss (hemhorrage or heavy menstration or loss in GI bleed)
-hemolysis (sickle cell or incompatible blood or aplastic)
Common manifestations of anemia - answer✔✔fatigue, dyspnea on exertion, palpitations, pallor,
intolerance to cold
Common labs of anemia (increased or Decreased)
-RBCs
-WBCs
Serum Iron
-Hem occult
blood in stool
may be do to find specific spot of bleeding
Anemia nursing interventions - answer✔✔-maintain 90% O2
-encourage periods of rest
-increase iron, B12, folic acid in diet
-Z-track injection of iron
-blood transfusion (<6)
Oral Iron complications - answer✔✔Can cause GI distress, constipation; may need to take with
food and OJ for
better absorption
If liquid, give with straw to prevent teeth staining
1 unit of blood will raise the Hgb how much? - answer✔✔1 Hgb
Blood Transfusion Nursing Considerations - answer✔✔-18 g (min. 20 g)
-y tubing with a filter
-prime NS
-nothing else in line
-confirm ID, blood compatibility, and expiration (2 RNs)
-client education
-baseline VS
-administer w/in 30 min
-stay with client for first 15-30 min-150mL/hr (400 mL total, 2-3 hrs)
Blood transfusion reaction s/sx - answer✔✔Shaking chills
SOB, chest pain, low back pain,
Hives/itching
Feeling of "something not right"
Hypotension, tachycardia, tachypnea
Taking what with iron helps absorption? - answer✔✔vit C-calcium decreased absorption
Anemia Improvement S/S - answer✔✔less fatigue
less SOB
decreased pallor
Potential Complications of anemia - answer✔✔MI (chest pain, radiation of pain)
HF ( heart pumps so fast for so long, pedal edema, crackles, SOB)
Rh compatibility - answer✔✔
Vitamin B12 anemia - answer✔✔deficiency of B12
What causes vitamin B12 deficiency? - answer✔✔absence of intrinsic factor in GI tract that is
used to absorb cobalamine/B12
-malabsorption, GI surgery, alcohol, PPIs (decrease acid)
cobalamine - answer✔✔B12
Folic acid anemia - answer✔✔deficiency in folic acid in diet/ malabsorption
Vit B12 Deficiency S/S - answer✔✔symptoms of anemia
impaired thought
hypoxia
n/v
anorexia
sore tongue
parasthesia
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