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NUR200 EXAM QUESTIONS AND ACCURATE ANSWERS
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NUR200 EXAM QUESTIONS AND ACCURATE ANSWERSVinca Alkaloids - Answer vincristine, vinblastine
Anemia causes - Answer -nutrient deficiency
-destruction of rbcs
-excessive blood loss
general anemia clinical manifestations - Answer -SOB, dyspnea
-fatigue
-pallor
-dizziness
-tachycardia
-palpitations
-systolic murmurs
-less commonly: bone pain, sternal tenderness
Hematocrit normal range - Answer female: 37-47%
male: 42-52%
Hemoglobin normal range - Answer 12-18 grams/dL
high hemoglobin may indicate: - Answer hemoconcentration caused by polycythemia
(inc. of rbc) or dehydration
low hemoglobin may indicate: - Answer anemia or recent hemorrhage
,high hematocrit may indicate: - Answer hemoconcentration caused by polycythemia
(inc. of rbc) or dehydration
low hematocrit may indicate: - Answer anemia, blood loss, or fluid volume excess
WBC normal range - Answer 4,500-11,000/mm3
Platelet count normal range - Answer 150,000-400,000/mm3
RBC count normal range - Answer male: 4.6 - 6.2 million/mm3
female: 4.2 - 5.4 million/m3
Reticulocyte count normal range - Answer 0.5-1.5%
Reticulocytes are - Answer immature RBCs
Reticulocyte may be increased with: - Answer blood loss or hypoxic conditions
MCV-mean corpuscular volume-size of the RBC - Answer 80-100 fL
MCH-mean corpuscular hemoglobin-pigmentation of the RBC - Answer 25.4-34.6
pg/cell*
(commonly used: 27 - 31 pg/ cell)
MCHC-mean corpuscular hemoglobin concentration-average concentration of
hemoglobin in the RBC - Answer 32 - 36 g/dL
,nutritional anemia - Answer -iron
-vitamin B12 (pernicious)
-folic acid
iron anemia causes - Answer -low dietary intake of iron (meat, fish, poultry)
-pregnancy
-gastric bypass
-infants of premature birth
-infants with excessive intake of milk
-premature infants exclusively fed breast milk (delayed introduction of solids)
iron anemia manifestations - Answer SOB
-fatsigue
-pallor
-tachycardia
-lightheadedness
-brittle hair, nail changes
-irritability/difficulty concentrating (common in children and elderly)
iron anemia labs - Answer Hgb <12
Hct <37
RBC <4.2million
MCV <80 (microcytic)
MCH low (hypochromic)
low serum transferrin
low ferritin
low TBIC
, Iron anemia treatment Answer -inc dietary intake (meat, poultry, fish, leafy greens,
whole grains)
-dec excessive milk in infants
-ferrous sulfate PO
Febrile Seizures
ferrous sulfate side effects Answer Nausea, constipation, stool color changes (not
harmful), diarrhea, epigastric pain
ferrous sulfate patient teaching Answer -take with meals to avoid GI upset (loses
absorption but increases compliance)
-stool softeners for constipation
-liquid form taken through straw to avoid staining teeth
-vitamin C help inc absorption
-avoid antacids
Iron dextran - Indication IM/IV administration: Iron deficiency anemia
Only for patients with documented Fe deficiency who are
unable to tolerate or absorb oral preparations and for patients with extensive chronic
anemia who cannot be maintained with oral therapy alone
black box: anaphylaxis ; wait 1 hour after test dose before full dose
iron sucrose - Indication Anemia
Iron preparation - Parenteral
Should be reserved for patients w/ iron deficiency who cannot tolerate or absorb oral
iron and for patients w/ extensive chronic anemia who cannot be maintained w/ oral iron
alone .
Used to correct hypochromic microcytic anemia due to iron deficiency.
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