Chamberlain University-Illinois NR 507 ATI: alterations in
hematologic function | Questions with 100% Verified
Answers | Latest Update
Question:
For each potential assessment finding, click to specify if the assessment findings is consistent with
vitamin B12 deficiency or iron deficiency anemia. Each finding may support more than 1 disease
process.
Answer:
Exhibit 1: 1 Month Ago: A client presents to the medical provider's office with complaints of feeling
fatigued, occasional headaches, and some shortness of breath. Denies pain. Afebrile. Has had a
decreased appetite. Denies any nausea or vomiting. Physical Exam: General: Pleasant, appears
tired, alert and oriented X4 Respiratory: Lung fields are clear to auscultation Cardiovascular: S1, S2,
no murmur Abdomen: Soft, nontender, bowel sounds are present in all 4 quadrants. Skin: Pale,
warm, and dry Today: The client returns today for follow-up from the previous visit. Complaints of
increasing fatigue, chest pain, increased shortness of breath and dizziness General: Appears very
fatigued, pleasant, alert and oriented X4. Patient reports pain as 6 on a scale of 0 to 10. Respiratory:
Lung fields are diminished in the bases Cardiovascular: S1, S2, no murmursAbdomen: Soft,
non-tender, bowel sounds present in all 4 quadrants. Skin: Pale, warm and dry Past Medical History:
No known drug allergies. Nonsmoker. Medications: Hydroxyurea 500 mg daily Vitals: 1 month ago:
Blood pressure 132/78 mm Hg Respiratory rate 18/min Heart rate 80/min Temperature 37.2° C (99°
F) SaO2 96% on room air Today: Blood pressure 120/76 mm Hg Respiratory rate 20/min Heart rate:
100/min Temperature 37.4⁰ C (99.3⁰ F) SaO2 94% on room air Labs: 1 Month Ago: Hemoglobin 10
g/dL (14 to 18 g/dL) Today: Hemoglobin 9.6 g/dL (14 to 18 g/dL) ANSWER: B12: dizziness, shortness
of breath, fatigue, and pallor. untreated, it can progress to affect the nervous system as B12 is
pertinent to the functioning of the brain and nerves iron deficiency anemia: dizziness, shortness of
breath, fatigue, headache, pallor, chest pain, and anemia demonstrated by low hemoglobin. the
client requires treatment with a diet high in iron rich foods and an iron supplem
Question:
Click to highlight the findings that require immediate follow- up. To deselect a finding, click on the
finding again. (answer is underlined)
Answer:
Today: The client presents to the office today with report of increasing tiredness noted by spouse.
The client awoke complaining of a headache and inability to make a fist. The client was incontinent
of urine one time. The client’s spouse also observed some slurred speech. Physical Exam: General:
Pleasant, appears disheveled Respiratory: Lung fields are clear to auscultation Skin: Pale, warm,
dry, and intact Cardiovascular: S1, S2, no murmur. Peripheral pulses palpable. Abdomen: Soft,
nontender, bowel sounds present in all four quadrants. Neurological exam: Alert and oriented to
person, place, and time. Speech is slurred. Grip demonstrates right arm weaker than left arm and
right lower extremity weaker than left lower extremity. Sensation is intact bilaterally. Medications:
Aspirin 81 mg daily prescribed during previous visit as antiplatelet therapy and lipid lowering
medications. Vitals: Blood Pressure 142/96 mm Hg Respiratory Rate 20/min Heart Rate 92/min
Temperature 37.4° C (99.3° F) Oxygen saturations SaO2 95% on room air ANSWER EXPLANATION:
- when evaluating outcomes, the nurse should recognize that headaches, slurred speech
or difficulty speaking, facial numbness, upper and lower extremity weakness or numbness,
, decreased level of consciousness, seizures or difficulty with ambulating are worsening or
exacerbated manifestations from a transient ischemic attack (TIA) that may now indicate an
intracranial hemorrhage is occuring
Question:
a client's caregiver is concerned about the young child's future and diagnosis of sickle cell and
expresses this to the medical staff on the unit at the hospital. the new nurse expresses the concerns
to the charge nurse and inquires what the most significant adverse effect would be on a client's life.
which of the following is an appropriate response for the charge nurse to make?
Answer:
pain crisis events have the most adverse effect
- it can significantly impact a client with sickle cell's life and interfere with their daily
activities as they can have several episodes a year. the pain can be debilitating
Question:
a nurse is teaching a client about stroke risk factors. the client has a family history of stroke and is
concerned. which of the following factors should be included in the teaching?
Answer:
aging: the older a person gets the more illnesses they have that are non-modifiable hypertension:
HTN can damage blood vessels and weaken arteries therefore placing the client at higher risk of
stroke DM: may have high and uncontrolled glucose levels. high glucose can lead to the
development of clots or deposits of fat in the vessels which can block vessels and blood flow. atrial
fibrillation: its an irregular heart rhythm that allows blood to remain in the heart and not be fully
ejected. this can create a clot that can be pumped out and block blood flow to the brain.
Question:
a nurse is reviewing lab results for a client who has iron deficiency anemia (IDA) the nurse notes
taht the client's latest hemoglobin is 10 g/dL. based on this lab result, which statements should the
nurse expect to hear form this client.
Answer:
i have been feeling short of breath while resting: IDA can be SOB due to lack of oxygen supply for
the body i have been feeling so tired: due to lack of O2 and iron depletion in the body, the client will
feel fatigued sometimes i feel dizzy and get a headache: due to lack of O2 in the body, the client
may feel dizzy and experience headaches sometimes my heart feels like it will beat right out of my
chest: IDA manifests as a bounding heart/heart palpitations in some ppl due to lack of O2 supply
Question:
a nurse is caring for a client who reports forgetfulness, confusion at times, visual deficits, weight
loss, bouts of diarrhea, and has difficulty ambulating. the nurse notes the client's hemoglobin is
13.2 g/dL. the client's adult child believes the client has early dementia and states, "I guess it is
time for them to come home!" which of the following is an appropriate statement for the nurse to
make?
Answer:
hematologic function | Questions with 100% Verified
Answers | Latest Update
Question:
For each potential assessment finding, click to specify if the assessment findings is consistent with
vitamin B12 deficiency or iron deficiency anemia. Each finding may support more than 1 disease
process.
Answer:
Exhibit 1: 1 Month Ago: A client presents to the medical provider's office with complaints of feeling
fatigued, occasional headaches, and some shortness of breath. Denies pain. Afebrile. Has had a
decreased appetite. Denies any nausea or vomiting. Physical Exam: General: Pleasant, appears
tired, alert and oriented X4 Respiratory: Lung fields are clear to auscultation Cardiovascular: S1, S2,
no murmur Abdomen: Soft, nontender, bowel sounds are present in all 4 quadrants. Skin: Pale,
warm, and dry Today: The client returns today for follow-up from the previous visit. Complaints of
increasing fatigue, chest pain, increased shortness of breath and dizziness General: Appears very
fatigued, pleasant, alert and oriented X4. Patient reports pain as 6 on a scale of 0 to 10. Respiratory:
Lung fields are diminished in the bases Cardiovascular: S1, S2, no murmursAbdomen: Soft,
non-tender, bowel sounds present in all 4 quadrants. Skin: Pale, warm and dry Past Medical History:
No known drug allergies. Nonsmoker. Medications: Hydroxyurea 500 mg daily Vitals: 1 month ago:
Blood pressure 132/78 mm Hg Respiratory rate 18/min Heart rate 80/min Temperature 37.2° C (99°
F) SaO2 96% on room air Today: Blood pressure 120/76 mm Hg Respiratory rate 20/min Heart rate:
100/min Temperature 37.4⁰ C (99.3⁰ F) SaO2 94% on room air Labs: 1 Month Ago: Hemoglobin 10
g/dL (14 to 18 g/dL) Today: Hemoglobin 9.6 g/dL (14 to 18 g/dL) ANSWER: B12: dizziness, shortness
of breath, fatigue, and pallor. untreated, it can progress to affect the nervous system as B12 is
pertinent to the functioning of the brain and nerves iron deficiency anemia: dizziness, shortness of
breath, fatigue, headache, pallor, chest pain, and anemia demonstrated by low hemoglobin. the
client requires treatment with a diet high in iron rich foods and an iron supplem
Question:
Click to highlight the findings that require immediate follow- up. To deselect a finding, click on the
finding again. (answer is underlined)
Answer:
Today: The client presents to the office today with report of increasing tiredness noted by spouse.
The client awoke complaining of a headache and inability to make a fist. The client was incontinent
of urine one time. The client’s spouse also observed some slurred speech. Physical Exam: General:
Pleasant, appears disheveled Respiratory: Lung fields are clear to auscultation Skin: Pale, warm,
dry, and intact Cardiovascular: S1, S2, no murmur. Peripheral pulses palpable. Abdomen: Soft,
nontender, bowel sounds present in all four quadrants. Neurological exam: Alert and oriented to
person, place, and time. Speech is slurred. Grip demonstrates right arm weaker than left arm and
right lower extremity weaker than left lower extremity. Sensation is intact bilaterally. Medications:
Aspirin 81 mg daily prescribed during previous visit as antiplatelet therapy and lipid lowering
medications. Vitals: Blood Pressure 142/96 mm Hg Respiratory Rate 20/min Heart Rate 92/min
Temperature 37.4° C (99.3° F) Oxygen saturations SaO2 95% on room air ANSWER EXPLANATION:
- when evaluating outcomes, the nurse should recognize that headaches, slurred speech
or difficulty speaking, facial numbness, upper and lower extremity weakness or numbness,
, decreased level of consciousness, seizures or difficulty with ambulating are worsening or
exacerbated manifestations from a transient ischemic attack (TIA) that may now indicate an
intracranial hemorrhage is occuring
Question:
a client's caregiver is concerned about the young child's future and diagnosis of sickle cell and
expresses this to the medical staff on the unit at the hospital. the new nurse expresses the concerns
to the charge nurse and inquires what the most significant adverse effect would be on a client's life.
which of the following is an appropriate response for the charge nurse to make?
Answer:
pain crisis events have the most adverse effect
- it can significantly impact a client with sickle cell's life and interfere with their daily
activities as they can have several episodes a year. the pain can be debilitating
Question:
a nurse is teaching a client about stroke risk factors. the client has a family history of stroke and is
concerned. which of the following factors should be included in the teaching?
Answer:
aging: the older a person gets the more illnesses they have that are non-modifiable hypertension:
HTN can damage blood vessels and weaken arteries therefore placing the client at higher risk of
stroke DM: may have high and uncontrolled glucose levels. high glucose can lead to the
development of clots or deposits of fat in the vessels which can block vessels and blood flow. atrial
fibrillation: its an irregular heart rhythm that allows blood to remain in the heart and not be fully
ejected. this can create a clot that can be pumped out and block blood flow to the brain.
Question:
a nurse is reviewing lab results for a client who has iron deficiency anemia (IDA) the nurse notes
taht the client's latest hemoglobin is 10 g/dL. based on this lab result, which statements should the
nurse expect to hear form this client.
Answer:
i have been feeling short of breath while resting: IDA can be SOB due to lack of oxygen supply for
the body i have been feeling so tired: due to lack of O2 and iron depletion in the body, the client will
feel fatigued sometimes i feel dizzy and get a headache: due to lack of O2 in the body, the client
may feel dizzy and experience headaches sometimes my heart feels like it will beat right out of my
chest: IDA manifests as a bounding heart/heart palpitations in some ppl due to lack of O2 supply
Question:
a nurse is caring for a client who reports forgetfulness, confusion at times, visual deficits, weight
loss, bouts of diarrhea, and has difficulty ambulating. the nurse notes the client's hemoglobin is
13.2 g/dL. the client's adult child believes the client has early dementia and states, "I guess it is
time for them to come home!" which of the following is an appropriate statement for the nurse to
make?
Answer:
