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NUR 195 Exam 2 Hemotology | Questions And Answers Latest {} A+ Graded | 100% Verified
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NUR 195 Exam 2 Hemotology | Questions And Answers Latest {} A+ Graded | 100% Verified
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NUR 195 Exam 2 Hemotology | Questions And Answers Latest {2024- 2025}A+ Graded | 100% Verified
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? - GI bleed
A common cause of GI blood loss include what? - Chronic alcoholism
When is iron deficiency expected? - Pregnancy
Diagnostic tests for iron deficiency include what? - fecal occult test for blood, GI cancer, fibroids
What blood lab rules out pernicious anemia in patients with iron deficiency? - anti-parietal cell
antibodies
A 51 year old male patient with a family history of GI disorders, Hgb 12g/dL should undergo what
procedure? - Colonoscopy
What method of iron supplement administration is preferred? - PO
, How can ferrous(iron) sulfate be administered? - PO (preferred) or IV
What is the recommended daily dose of iron for iron deficiency? - 100mg
Food does what to iron absorption? - decreases by 50%
What facilitates iron absorption? - Vitamin C
How should iron supplements be taken? - Ideally, on an empty stomach (some patients cannot tolerate
this)
Through a straw with orange juice
what GI side effects occur while taking iron supplements orally? - nausea, epigastric discomfort
Calcium ____________ iron absorption. - decreases
How should you administer calcium and iron? - staggered
How long does Hgb take to begin to rise after iron supplementation has begun? - 1 week
How much should Hgb increase by within 4-8 weeks while taking iron replacement? - 1-2g/dL
Is iron absorption hindered with duodenal complications such as gastric surgery or gastritis? - Yes
What is the only IV iron supplement requiring a test dose for hypersensitivity? - INFeD
What IV iron supplement is given in high doses over 1 hour? - INFeD (1,000mg)
What iron supplement(s) are given over short periods of time? - Monofer; Injectafer
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