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Nur 242 Exam 1 Galen College Of Nursing - Question and answers already pass Nur 242 Exam 1 What are some causes of anemia? -Deficient nutrients (Iron, Cobalamin, folic acid) -Decreased erythropoietin -Decreased iron availability -Blood loss -Increased RBC destruction What are the ter...

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  • October 22, 2024
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  • 2024/2025
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Nur 242 Exam 1
What are some causes of anemia?
-Deficient nutrients (Iron, Cobalamin, folic acid)
-Decreased erythropoietin
-Decreased iron availability
-Blood loss
-Increased RBC destruction




What are the terms for normal size/color hemoglobin?
normocytic, normochromic




What are the terms for small/pale hemoglobin?
Microcytic, hypochromic-Iron deficiency anemia




What is the name for large sized, normal colored hemoglobin?
Macrocytic, normochromic




What are some causes of macrocytic hemoglobin?
Low b12, low folic acid, liver disease

,What is a complication of macrocytic hemoglobin?
Has ability to burst




What assessment questions will you ask a patient regarding anemia?
-Experienced any trauma recently
-Dark colored stool?
-Heavy/irregular periods?
-Diet?
-Weakness/fatigue?
-SOB?
-dizziness
-tachypnea
-tachycardic
-hypotension




What are the common s/s of anemia?
-Weakness/fatigue
-SOB
-dizziness
-tachypnea
-tachycardia
-hypotension

,Why are infants at risk for nutritional anemia?
•first 4-6 months surplus of moms iron, starts to diminish after




Why are peds at risk for nutritional anemia?
Picky eaters




Why are adolescents at risk for nutritional anemia?
•unhealthy diets, eating disorders, menstrual cycles




Why are older adults at risk for nutritional anemia?
-surgery (ask estimated blood loss)
-bleeds
-kidney disease
-medications




What are risk factors for iron deficiency anemia?
-income
-diet




What are nursing cues for iron deficiency anemia?

, -pale
-fatigued
tachycardic
-hypotensive
-decreased CBC, H&H, blood smear to see size and shape of blood cells




What is the treatment for iron deficiency anemia?
-Iron replacement therapy
-Medications if replacement therapy unsuccessful
-assess for fall risk




What are the types of iron supplements?
•Oral- avoid enteric and sustained released
•IV




What are some considerations for oral iron supplements
-It is best absorbed in an acidic environment (take on empty stomach or with
vitamin C)
-Causes GI upset (take with vitamin C if occurs)
-If taking on empty stomach --> 1 hr prior to food
-Can cause black stool
-Liquid can stain teeth, take with straw or dropper in the back of the mouth
-IM change needles because it can stain skin

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