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Nurs 517 Exam -2 Questions answers latest update $14.99
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Nurs 517 Exam -2 Questions answers latest update

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Nurs 517 Exam -2 Questions answers latest update

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  • December 6, 2024
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Nurs 517 Exam #2

diagnostic labs for anemia

CBC, H/H, RBC

normal hemoglobin

males: 14-18
females: 12-16

general s/s of anemia

tachycardia, hypotension, angina, dyspnea on extertion, pallor, weakness/fatigue,
fizzy, headache

iron deficiency anemia

- most common; caused by dec. iron levels and blood loss
- s/s: koilonychia (spoon nails), restless legs, atrophic glossitis (smoothym glossy
tongue), dry mouth, numbness, loss of taste
- potential pica
- tx: need to treat underlying cause (blood transfusions, iron supplements, etc.)

vitamin-deficiency anemia

- not enough B12 and/or folates to make RBCs
- can be from alcohol, meds
- s/s: difficulty walking, diarrhea, weight loss, atrophic glossitis, changes in taste
and smell
- can lead to memory loss, confusion, uncontrolled movement, twitch/numb,
vision problems
- tx: B12 supplements and foods, folate, blood transfusion

aplastic anemia

,- failure of bone marrow to produce RBC
- s/s: long infections, bruising/bleeding easily, petechiae, hemorrhage, heavy
periods
- tx: blood transfusions, erythropoietin, bone marrow transplant

hemolytic anemia

- a disorder in which red blood cells are destroyed faster than they can be made

- sickle cell or thalassemia

- s/s: enlarged spleen/liver

- tx: blood transfusions, surgical removal of spleen, medications

anemia of chronic diseases

- from cancers, autoimmune, inflammatory disorders (HF, COPD, CKD, elderly)
- same s/s as general anemia

epoetin MoA/classification/indications

- erythropoiesis stimulation agent

- stimulates bone marrow to make RBC

- anemia related to chronic diseases, HIV, chemo

epoetin se/teaching/considerations

- hypertension, bone pain, thromboembolic events (MI, stroke), tumor
progression

- monitor BP, H/H, do not shake vial

- contrained in pt with uncontrolled HTN & Hbg levels > 11 g/dl

- ensure daily intake of iron

ferrous sulfate MoA/classification/indications

, - iron supplements

- used in iron def. anemia

- essential component of hemoglobin

ferrous sulfate SE/teaching/considerations

- GI upset, constipation, teeth staining, dark stools, hypotension, flushing,
anaphylaxis

- Vit C inc. absorption vs. calcium dec. absorption

- take on empty stomach, inc fluids/fiber to prevent constipation, use straw,
keep children away bc of fatal toxicity

delirium

- acute
- caused by meds and illness
- reversible
- affects attention
- worse at night
- orientation is variable

dementia

- progressive and chronic
- caused by brain changes
- irreversible
- affects memory only
- worse at night
- dec. orientation

assessments for dementia

- orientation, behavior, personality
- ADLs
- muscoskeletal

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