Exam II Review NUR 2990 Questions
And 100% Solved Solutions.
Nursing Interventions for Anemia - Answer - Managing fatigue
- Maintaining adequate nutrition
- Activity intolerance
- Promoting adherence with prescribed therapy
- Monitoring and managing potential complications
Evaluation of Anemia - Answer 1. Reports less fatigue
2. Attains and maintains adequate nutrition
3. Maintains adequate activity level
4. Absence of complications
Nursing Diagnosis for Anemia - Answer - Fatigue related to decreased hemoglobin and diminished
oxygen-carrying capacity of the blood
- Imbalanced nutrition, less than body requirements, related to inadequate intake of essential nutrients
- Activity intolerance related to inadequate hemoglobin and hematocrit
- Noncompliance with prescribed therapy
Assessment of Anemia - Answer - Health history/physical examination
- Nutritional Assessment
- Assessment of the GI system
- Neuro Assessment
What is the best indicator of anemia? - Answer Hgb levels
Why is Hct not as accurate as hgb levels? - Answer Hct is influenced by hydration status
, Iron Deficiency Anemia - Answer Microcytic, hypochromic
Iron Deficiency Assessment - Answer - Hgb drops as anemia progresses
- Low serum iron level and elevated TIBC (transferrin)
- Other diseases (infection and inflammatory conditions) can cause a low level serum iron, TIBC and
elevated ferritin.
What is the best indicator for iron deficiency? - Answer Depleted iron stores which is reflected by a low
serum ferritin.
Management of Iron Deficiency Anemia - Answer - Food sources
- Oral iron preparation (6-12 months to replace stores), Vitamin C- no antacids and dairy products should
be taken with iron.
- IV or IM- Imferon- iron dextran- caution- anaphylaxis- test dose is administered parentally first- IM Z-
track.
Iron Rich Foods - Answer - Red meat
- Oysters and Shellfish
- Grains, quinoa
- Dark leafy greens
Poultry and dried fruits
- Legumes/Lentils
B12 and Folic Acid Deficiency Anemia - Answer Megaloblastic Anemia (characterized by the presence of
abnormally large, nucleated RBCs).
- B12 and folic acid are essential for normal DNA synthesis.
Why are the erythrocytes produced in B12 and Folic Acid deficiency anemia abnormally large? - Answer
Because without B12 or folate RBC's do not go through cell division.
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