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NUR1006 Exam 1 Questions And Correct Answers
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NUR1006 Exam 1 Questions And Correct AnswersDecreased RBS production w/ anemia?
-bone marrow failure
-cancer/ chemotherapy
-chronic disease (renal failure)
Blood loss's that cause anemia?
-traumatic surgery
-chronic bleeding
-Latrogenic loss
Increased RBC destruction that causes anemia?
-implanted devices
-drug induced
-infection, fever, sepsis
What can blood loss anemia lead to?
-decreased RBC count that leads to inadequate oxygen delivery
-then will move to tissue hypoxia
What are clinical manifestations of tissue hypoxia due to blood loss anemia?
-pallor
-HA
-fatigue
-Tachycardia
,-Tachypnea/ SOB
-Activity intolerance
-Dizziness, lightheadedness
What does it mean if you are bleeding internally?
they are in the wrong place. Are there just not where needed
What does it mean if there is a loss of RBCs?
Patient could have an infection of hypoxia
What is the hematocrit level?
The percentage by volume of RBCs in our blood
What will happen to a patient with low hematocrit?
Patient will be symptomatic with exercise, once @ 40% will be symptomatic @ rest (don't
memorize numbers but know difference)
What are normal hematocrit levels for a female?
38-44%
What are normal hematocrit levels for males?
43-49%
What are normal hemoglobin levels for males?
12.6 - 17.4 g/dL
What are normal hemoglobin levels for females?
,11.7 - 16.1 g/dL
What are S/S of anemia?
Tiredness
Weakness
Pale skin
Irregular heart beat (speed up, Tachycardia)
BP will drop (hypotensive
Resp rate will increase to compensate
S/0 breath
Chest pain
Dizziness
Cold hands/ feet
H/A
Elderly present w/ confusion
How much is a blood loss of 30%?
1500 mL
How much is a blood loss of 40%
2000 mL
What is the pathophysiology of iron deficiency anemia?
released from liver, but need to be replenished through nutrition
, What are risk factors of iron deficiency anemia?
- Hemorrhage; Menses; Elderly (due to nutritional deficiency);
- Inadequate dietary intake; GI issues (Crohn's, Celiac) these diseases may not be able
to absorb iron being ingested
- Poor nutrition/ not consuming foods w/ iron in it
- Consuming alcohol
What are clinical manifestations of iron deficiency anemia?
- Pica
- Unusual cravings (high iron foods)
- Glossitis (swelling of the tongue- smooth beefy red tongue)
- Koilonychias (spoon-shaped nails)
- Altered LOC
How is iron deficiency diagnosed?
- CBC
- h&h
- Ferritin levels
What are nursing interventions for iron deficiency anemia?
- Parenteral iron stains the skin (Z track) have patients drink through straw
- Monitor VS
Iron supplements (PO, IM, IV) - is constipating will have black tarry stool
- Dietary teaching - dark leafy greens, red meat, beans, cook in cast iron pan
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