NUR 213 study guide Exam #1 Question with verified
answers
What are the iron supplements?- √√Ferrous sulfate, ferrous gluconate
What is the mechanism of iron supplements (ferrous sulfate and ferrous gluconate)?-
√√Replaces iron stores required for Hgb, myoglobin, and enzyme function; supports O2
transport
What issues can iron supplementation be used for?- √√Iron-deficiency anemia, prevention
in pregnancy
What are the adverse effects of iron supplementation?- √√Constipation, nausea, dark/black
stool, epigastric pain, staining of teeth (liquid form)
What is iron supplementation best absorbed with?- √√Best absorbed on an empty
stomach with Vit. C (orange juice)
What should you avoid giving iron supplementation with because it decreases absorption?-
√√Milk, calcium, or antacids
What are some other nursing considerations for iron supplementation?- √√-use a straw
with liquid form
-teach about stool appearance
-monitor Hgb, Hct, reticulocyte count
What is folic acid?- √√Vit. B9
What is the mechanism of folic acid (Vit. B9)?- √√Essential for DNA synthesis, RBC/WBC
formation, cell growth
What are the uses for folic acid (Vit. B9)?- √√Treatment.prevention of megoblastic anemia,
prevention of neural tube defects in pregnancy, alcohol use disorder
What are the adviser effects of folic acid (Vit. B9)?- √√Rare, may mask a Vit. B12 deficiency
, What are the nursing considerations of folic acid (Vit. B12)?- √√-Encourage diet with leafy
greens, citrus fruits, beans
-supplement required in pregnancy
-assess for concurrent B12 deficiency (neurological symptoms)
What are the Vit. B12's ?`- √√Cyanocobalmain, Hydroxocobalmain
What is the mechanism for B12?- √√Needed for DNA synthesis, neurological function, and
RBC production
What are the uses for B12?- √√Pernicious Anemia, strict vegan diet, post-gastric surgery
What is pernicious anemia?- √√lack of intrinsic factor
What are the adverse effects of Vit. B12?- √√Injection site pain, hypokalemia during rapid
new RBC production
What are the nursing considerations for Vit. B12?- √√-usually lifelong IM injections for
pernicious anemia
-monitor neuro (parathesia, confusion)
- teach dietary sources (meats, eggs, dairy, fortified foods)
What are the types of blood products?- √√Packed red blood cells (PRBC's), fresh frozen
plasma, platelets, cryoprecipitate
What are the uses for blood products?- √√Severe anemia, clotting factor deficiencies,
trauma, severe blood loss
What are the adverse effects of blood products?- √√Allergic reaction, febrile non-hemolytic
reaction, hemolytic transfusion reaction, TRAL1, fluid overload
What is TRAL1?- √√Transfusion-Related Acute Lung Injury (happens within 6
hrs)(inflammation of lungs)
What is a febrile non-hemolytic reaction?- √√immune system reacts to donor WBC's or
cytokines that are present in the transfused blood- no destruction of RBC's (fever and chills)
answers
What are the iron supplements?- √√Ferrous sulfate, ferrous gluconate
What is the mechanism of iron supplements (ferrous sulfate and ferrous gluconate)?-
√√Replaces iron stores required for Hgb, myoglobin, and enzyme function; supports O2
transport
What issues can iron supplementation be used for?- √√Iron-deficiency anemia, prevention
in pregnancy
What are the adverse effects of iron supplementation?- √√Constipation, nausea, dark/black
stool, epigastric pain, staining of teeth (liquid form)
What is iron supplementation best absorbed with?- √√Best absorbed on an empty
stomach with Vit. C (orange juice)
What should you avoid giving iron supplementation with because it decreases absorption?-
√√Milk, calcium, or antacids
What are some other nursing considerations for iron supplementation?- √√-use a straw
with liquid form
-teach about stool appearance
-monitor Hgb, Hct, reticulocyte count
What is folic acid?- √√Vit. B9
What is the mechanism of folic acid (Vit. B9)?- √√Essential for DNA synthesis, RBC/WBC
formation, cell growth
What are the uses for folic acid (Vit. B9)?- √√Treatment.prevention of megoblastic anemia,
prevention of neural tube defects in pregnancy, alcohol use disorder
What are the adviser effects of folic acid (Vit. B9)?- √√Rare, may mask a Vit. B12 deficiency
, What are the nursing considerations of folic acid (Vit. B12)?- √√-Encourage diet with leafy
greens, citrus fruits, beans
-supplement required in pregnancy
-assess for concurrent B12 deficiency (neurological symptoms)
What are the Vit. B12's ?`- √√Cyanocobalmain, Hydroxocobalmain
What is the mechanism for B12?- √√Needed for DNA synthesis, neurological function, and
RBC production
What are the uses for B12?- √√Pernicious Anemia, strict vegan diet, post-gastric surgery
What is pernicious anemia?- √√lack of intrinsic factor
What are the adverse effects of Vit. B12?- √√Injection site pain, hypokalemia during rapid
new RBC production
What are the nursing considerations for Vit. B12?- √√-usually lifelong IM injections for
pernicious anemia
-monitor neuro (parathesia, confusion)
- teach dietary sources (meats, eggs, dairy, fortified foods)
What are the types of blood products?- √√Packed red blood cells (PRBC's), fresh frozen
plasma, platelets, cryoprecipitate
What are the uses for blood products?- √√Severe anemia, clotting factor deficiencies,
trauma, severe blood loss
What are the adverse effects of blood products?- √√Allergic reaction, febrile non-hemolytic
reaction, hemolytic transfusion reaction, TRAL1, fluid overload
What is TRAL1?- √√Transfusion-Related Acute Lung Injury (happens within 6
hrs)(inflammation of lungs)
What is a febrile non-hemolytic reaction?- √√immune system reacts to donor WBC's or
cytokines that are present in the transfused blood- no destruction of RBC's (fever and chills)
