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NUR 195 Exam 2 Questions and Answers
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Exam of 58 pages for the course NUR 195 at NUR 195 (NUR 195 Exam 2)
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NUR 195 Exam 2 Questions andAnswers
An immune response mediated by cytotoxic T-cells that targets the cells in bone
barrow causing cell death describes which anemia?
✓ ~~~ Aplastic
What laboratory findings would the nurse expect to find in a patient with aplastic
anemia?
✓ ~~~ Decreased WBCs, Hgb, Hct & platelets
What are some examples of treatment for patients with Aplastic anemia?
✓ ~~~ Immunosuppressive therapy & Stem cell transplantation
Laboratory findings expected in a patient with anemia due to blood loss include?
✓ ~~~ normal then decreasing Hgb, Hct & MCV; decreased iron
What is the expected treatment for blood loss?
✓ ~~~ Packed RBC transfusion
Autoimmune hemolytic anemia causes what to blood cells?
✓ ~~~ hemolysis
Where does hemolytic anemia occur?
✓ ~~~ vessels & lymphoid tissue
,What medication would the nurse anticipate administering to a patient with hemolytic
anemia?
✓ ~~~ corticosteroids
What is anticipated in the treatment of sickle cell anemia?
✓ ~~~ Packed RBCs, monitor for iron overload, hydroxyurea
What cardiovascular signs occur with anemia?
✓ ~~~ palpitations, tachycardia, hypotension, peripheral edema, murmurs
What are important neurologic symptoms in a patient with anemia?
✓ ~~~ numbness & tingling, irritability, headache, confusion, disturbed gait, ringing of the
ears
What is the most important integument condition to assess for in a patient with
anemia?
✓ ~~~ Pallor (conjunctiva, palms)
What integumentary finding is a sign f hemolytic anemia?
✓ ~~~ Jaundice
A beefy, red, sore tongue is a sign of what?
✓ ~~~ Folic acid deficiency
A smooth red tongue is a sign of what?
, ✓ ~~~ iron deficiency
List the respiratory S/S pointing to anemia.
✓ ~~~ dyspnea, tachypnea, orthopnea
What GI disturbances occur with anemia?
✓ ~~~ N/V/D, anorexia, dysphagia, hepatomegaly, splenomegaly
True/False: muscle pain occurs with anemia.
✓ ~~~ True
What conditions are CBC values used for?
✓ ~~~ leukemia, blood cell disorders
What is a colonoscopy used for in a patient with anemia?
✓ ~~~ To assess for a GI bleed, malignancy, growths
What considerations are most important in patients with acute blood loss & severe
hemolysis?
✓ ~~~ decreased perfusion
What is the expected treatment for blood loss & severe hemolysis?
✓ ~~~ blood transfusions and IV fluids; acute O2 therapy
What medications should be withheld or adjusted in a patient with acute blood loss?
, ✓ ~~~ antihypertensives
What are complications of severe anemia?
✓ ~~~ heart failure, paresthesias, confusion
What are the hypoproliferative anemias?
✓ ~~~ Iron deficient, anemia in KD, chronic disease, & megaloblastic
Iron deficient anemia is a ______cytic anemia.
✓ ~~~ micro
Iron deficient anemia sees laboratory values of transferrin below ___% and ferritin
below ___ ng/mL.
✓ ~~~ 20%:30ng/mL
What is the most common anemia?
✓ ~~~ iron deficiency anemia
Common causes of iron deficiency anemia include what?
✓ ~~~ inadequate intake(vegetarians, bleed loss(GI bleed)
The cause of iron deficient anemia should be considered what until proven
otherwise?
✓ ~~~ blood loss
What is the most common cause of iron deficient anemia?
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