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GNRS 556 MED SURG EXAM 2 QUESTIONS WITH ACTUAL SOLUTIONS!!
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GNRS 556 MED SURG EXAM 2 QUESTIONS WITH ACTUAL SOLUTIONS!!
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GNRS 556 MED SURGEXAM 2 QUESTIONS
WITH ACTUAL
SOLUTIONS!!
GNRS 556
Evatee 10/8/24 GNRS 556
,GNRS 556 MED SURG EXAM 2 QUESTIONS
WITH ACTUAL SOLUTIONS!!
risk factors for developing anemia Answer - -deficient nutrients (iron, vitamin
B12, folic acid)
-decreased erythropoietin (kideny)
-decreased iron availability (liver)
-blood loss (hemorrhage, colorectal cancer, liver disease, trauma, aortic
aneurysm, GI bleed)
-hemolysis (sickle cell, meds, incompatible blood, trauma)
Iron deficiency anemia causes Answer - -inadequate dietary intake
-intestinal malabsorption (Crohn's, Celiac, surgery)
-blood loss (chronic through GI/GU systems) - menstruation
-Hemolysis
-Pregnancy (increased demand for iron)
-anticonvulsants (can either affect bone marrow or cause hemolysis)
iron deficiency anemia clinical manifestations Answer - -pallor
-weakness
-fatigue
-fissure on mouth
iron deficiency anemia treatment Answer - -treat underlying disease
, -increase intake of iron (shellfish, spinach, red meat, liver, broccoli, tofu,
legumes, fish)
-transfusion of packed RBCs if severe
iron deficiency anemia nursing considerations Answer - -assess patient's diet,
history of hemorrhage
-conduct physical exam to look for symptoms
-administer prescribed meds
-reduce fatigue for patient
-prevent infection & bleeding
Pernicious anemia causes Answer - -lack of intrinsic facto production by
parietal cell
-IF is required for B12 absorption in small intestine
-lack of IF causes B12 deficiency anemia
-chronic PPI and H2 use b.c you need an acidic environment to secrete IF
pernicious anemia clinical manifestations Answer - -glossitis (swollen tongue)
-weakness
-paresthesia of the hands and feet
-ataxia: impaired coordination
-muscle weakness
-same as vitamin B12 deficiency anemia
pernicious anemia treatment Answer - -lifelong parenteral or intranasal
vitamin B12
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