NUR 5461 MODULE 4 STUDY GUIDE 2026
DISEASE MANAGEMENT AND CARE
PLANNING QUESTIONS AND ANSWERS
◉ Pernicious anemia s/s
Answer: beefy red tongue, fatigue, paresthesia of hands/feet, fatigue
◉ macrocytic anemias
Answer: Pernicious anemia, folate deficiency anemia >103mm
◉ causes of macrocytic anemias
Answer: liver disease, low b12 or folate, gastrectomy, malabsorption,
alcoholics
◉ microcytic anemia
Answer: iron deficiency, anemia of chronic disease late stage, lead
poisoning, thalassemias,, occult blood in stool, menorrhagia, <87mm
◉ normocytic anemia
Answer: anemia of chronic disease, sickle cell, impaired bone
marrow, hemolytic anemia, 87-103mm
,◉ primary storage for iron
Answer: ferritin >100 = normal
◉ increased ferritin
Answer: inflammatory disease, hepatitis, CRF,
◉ transferrin
Answer: regulates iron absorption and transport in body, low levels
= protein malnutrition, >200 is normal
◉ total iron binding capacity (TIBC)
Answer: high when iron low 240-450
> 400 with iron deficiency anemia
◉ Primary hypothyroidism
Answer: High TSH, low T3 and T4
◉ Secondary hypothyroidism
Answer: low TSH, low T3/T4, malfunction of pituitary
◉ Hashimoto's thyroiditis
, Answer: autoimmune thyroiditis, high TSH, low T3/T4
◉ Myxedema
Answer: puffy face with hypothyroid
◉ Grave's disease
Answer: autoimmune disorder leading to hyperthyroidism,
antibodies mimicking TSH, high T4/T3
◉ Primary Hyperthyroidism
Answer: Low TSH High T3,T4
◉ excessive iodine uptake
Answer: hyperthyroidism
◉ first test for thyroid
Answer: TSH
◉ TSH improvement after levothyroxine
Answer: 6-8 weeks
◉ subclinical hypothyroid
DISEASE MANAGEMENT AND CARE
PLANNING QUESTIONS AND ANSWERS
◉ Pernicious anemia s/s
Answer: beefy red tongue, fatigue, paresthesia of hands/feet, fatigue
◉ macrocytic anemias
Answer: Pernicious anemia, folate deficiency anemia >103mm
◉ causes of macrocytic anemias
Answer: liver disease, low b12 or folate, gastrectomy, malabsorption,
alcoholics
◉ microcytic anemia
Answer: iron deficiency, anemia of chronic disease late stage, lead
poisoning, thalassemias,, occult blood in stool, menorrhagia, <87mm
◉ normocytic anemia
Answer: anemia of chronic disease, sickle cell, impaired bone
marrow, hemolytic anemia, 87-103mm
,◉ primary storage for iron
Answer: ferritin >100 = normal
◉ increased ferritin
Answer: inflammatory disease, hepatitis, CRF,
◉ transferrin
Answer: regulates iron absorption and transport in body, low levels
= protein malnutrition, >200 is normal
◉ total iron binding capacity (TIBC)
Answer: high when iron low 240-450
> 400 with iron deficiency anemia
◉ Primary hypothyroidism
Answer: High TSH, low T3 and T4
◉ Secondary hypothyroidism
Answer: low TSH, low T3/T4, malfunction of pituitary
◉ Hashimoto's thyroiditis
, Answer: autoimmune thyroiditis, high TSH, low T3/T4
◉ Myxedema
Answer: puffy face with hypothyroid
◉ Grave's disease
Answer: autoimmune disorder leading to hyperthyroidism,
antibodies mimicking TSH, high T4/T3
◉ Primary Hyperthyroidism
Answer: Low TSH High T3,T4
◉ excessive iodine uptake
Answer: hyperthyroidism
◉ first test for thyroid
Answer: TSH
◉ TSH improvement after levothyroxine
Answer: 6-8 weeks
◉ subclinical hypothyroid
