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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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  • 16 de agosto de 2024
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  • 2024/2025
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  • NUR 195
  • NUR 195
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NUR 195 Exam 2 Questions and
Answers
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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