NURS 5461 STUDY GUIDE PRACTICE QUESTIONS AND COMPLETE SOLUTIONS GRADED A+

NURS 5461 STUDY GUIDE PRACTICE
QUESTIONS AND COMPLETE SOLUTIONS
GRADED A+

⩥ Pernicious anemia s/s.
Answer: beefy red tongue
fatigue
paresthesia of hands/feet


⩥ What are the types macrocytic anemias.
Answer: Pernicious anemia
folate deficiency anemia >103mm


⩥ causes of macrocytic anemias.
Answer: liver disease
low b12 or folate
gastrectomy
malabsorption
alcoholism


⩥ Types of microcytic anemia.

,Answer: iron deficiency
anemia of chronic disease late stage
lead poisoning, thalassemias
MCV <87mm


⩥ Some signs of microcytic anemia.
Answer: occult blood in stool menorrhagia


⩥ Characteristics of normocytic anemia.
Answer: anemia of chronic disease, sickle cell, impaired bone marrow,
hemolytic anemia, 87-103mm


⩥ What is the primary storage for iron.
Answer: ferritin >100 = normal


⩥ increased ferritin is caused by?.
Answer: inflammatory disease, hepatitis, CRF,


⩥ What does transferrin do?.
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


⩥ Hormone levels in Primary hypothyroidism?.
Answer: High TSH, low T3 and T4


⩥ Hormone levels in Secondary hypothyroidism.
Answer: low TSH, low T3/T4, malfunction of pituitary


⩥ What is Hashimoto's thyroiditis? What are the hormone levels
associated ?.
Answer: autoimmune thyroiditis, high TSH, low T3/T4


⩥ Myxedema s/s.
Answer: puffy face with hypothyroid


⩥ What is Grave's disease?.
Answer: autoimmune disorder leading to hyperthyroidism, patients have
antibodies mimicking TSH, high T4/T3


⩥ Primary Hyperthyroidism hormone levels.