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A pt. is diagnosed with aplastic anemia. The nurse expects to find what pt. symptoms upon
assessment?
a. lethargy
b. heart palpitations
c. transient murmurs
d. bradycardia
e. orthopnea - correct answer -A, B, C
The nurse is educating a patient diagnosed with anemia of chronic renal failure about the disease.
Which statements made by the nurse are correct regarding the patient's treatment? (Select all that
apply.)
a, "Since your glomerular filtration is 13 mL/min, you'll be started on dialysis."
b. "Your hematocrit is 29%, so you're going to start on erythropoietin therapy."
c. "Your hemoglobin is 9 g/dL, so you'll need erythropoietin therapy."
d. "We need to get your hemoglobin up to at least 15 g/dL"
e. "You're going to need iron, folate, and B12 therapy to help improve your blood counts." - correct
answer -A, B, C, E
Anemia related to B12 or folate deficiency is characterized by what lab features? (select all that apply"
a. RBC counts of 775,000 to 900,000 cells/mm3
b. RBC counts of 500,000 to 750,000 cells/mm3
c. WBC counts of 3000 to 4000 cells/mm3
d. WBC counts of 4000 to 5000 cells/mm3
e. Platelet counts of 60,000 cells/mm3 - correct answer -B, D
Regarding iron-defieicny anemia, what lab features are typically decreased? (select all that apply):
,a. MCV
b. MCH
c. MCHC
d. WBC
e. thrombocytes - correct answer -A, B, C
One of the cardinal features of sickle cell anemia includes acute and chronic dysfunction of which
organs? (select all that apply):
a. spleen
b. bones
c. brain
d. lungs
e. stomach - correct answer -A, B, C, D
A newborn pt is diagnosed with hemolytic disease. The nurse may expect to find what s/s? (select all
that apply):
a. petechial hemorrhages
b. hepatomegaly
c. splenomegaly
d. kernicterus
e. erythema - correct answer -A, B, C, D
The anemia resulting from a deficiency of either vitamin B12 (cobalamin) or folate is caused by a
disruption in DNA synthesis of the blast cells in the bone marrow that produces very large abnormal
bone marrow cells called megaloblasts.
True or False - correct answer -True
Which acid are the kidneys unable to excrete?
a. metabolic
b. carbonic
, c. bicarbonate
d. ammonia - correct answer -B
The body compensates for metabolic alkalosis by
a. hypoventilation
b. decreasing arterial carbon dioxide
c. increasing bicarbonate ion excretion
d. hyperventilation - correct answer -A
The ABG pH = 7.52, PaCO2 = 30mmHg, HCO3- =24mmHg demonstrates
a. metabolic acidosis
b. respiratory acidosis
c. respiratory alkalosis
d. mixed alkalosis - correct answer -C
Diarrhea and other lower intestinal fluid losses will contribute to
a. metabolic alkalosis
b. metabolic acidosis
c. respiratory acidosis
d. mixed acid-base disorders - correct answer -B
Respiratory acidosis is associated with
a. increased carbonic acid
b. hypokalemia
c. increased neuromuscular excitability
d. increased pH - correct answer -A
Vomiting of stomach contents or continuous nasogastric suctioning may predispose to development of