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NUR 347 ( LATEST 2024 / 2025 ) EXAM 3 | GRADED A+ | PASSED | NEW FULL EXAM ACTUAL
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NUR 347 ( LATEST 2024 / 2025 ) EXAM 3 | GRADED A+ | PASSED | NEW FULL EXAM ACTUAL
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NUR 347 Exam 31. Pernicious anemia
Answer
paresthesia, numbness/tingling, associated with B12 defi- ciency, administer nasal instead of
IM in thrombocytopenia (risk for bleeding)
2. B 12 (Cobalamin)
Answer
B12 gives us energy. Patients that need B12 replacement --> Pregnancy, celiac disease, crohn's
disease, GI disorders, gastric bypass (usually need B12 will get IM injections or nasally due to
malabsorption through GI tract)
3. Iron deficiency
Answer
Replace iron through PO, transfusions of packed RBC, nutrition (foods high in iron)-->beefy red
tongue
4. Foods high in iron
Answer
eggs, beans, wheat, spinach
5. Ferrous sulfate
Answer
PO causes constipation, increase fluid and fiber intake, expect- ed side effect of oral ferrous
,sulfate is tarry (black) stools --> Patient needs to be educated that this is a normal side effect
6. principles of blood transfusion
Answer
Principles of blood transfusion
- Don't use dextrose/ lactated ringers ’ RBC hemolysis
- Transfuse with 0.9 % normal saline
- Don't give additives (meds) in same blood tubing
- Use 20 G or larger due to blood viscosity and could cause hemolysis.
- Blood should be given within 4 hours
7. Recognition of transfusion reactions and appropriate nursing interven- tions
Answer
Blood transfusion ’CNA takes vitals (delegation) temp, bp and pulse prior to the infusion
Febrile (nonhemolytic anemia) ’ NOT life-threatening, chills, fever, anxiety
Administer Tylenol (antipyretics) or Benadryl usually occurs more than 15 minutes from starting
infusion
Hemolytic (acute reaction) will happen within first 15 minutes of starting the infu- sion’STOP
transfusion, remove tubing, administer 0.9% normal saline
8. Precautions for low RBC's,WBC's, and Platelets
Answer
First sign and symptom that would concern you that a patient has low platelets
Answer
, difficult to arouse, change in loc
Neutropenic precautions ’ wbc, neutrophil count, patient at increased risk for infection (important
to check patients temperature every 4 hours) is the patient has a temp of 100 degrees of more
that patient is a priority; no fresh flowers, uncooked foods, etc., anything with possible bacteria.
Check vital signs every 4 hours.
No IM ’ thrombocytopenia (low platelets)-risk for bleeding
Thrombocytopenia-complication is bleeding (if the patient has a decreased in loc and is difficult
to arouse this would be something you would communicate to the physician
9. PTT Lab
Answer
(30-40) --> Heparin
10. PTT info
Answer
If a patient's PTT is 50 means it is taking longer to clot. If it is 20, then you worry about
thrombus formation.
11. Why is Heparin given?
Answer
Can be given after a patient has an MI, DVT, etc. The reason you give this is to make sure a
patient takes longer to clot
12. Meds that will increase PTT
Answer
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