,Points Received: 2 of 2
, Comments:
Question 5. Question : Iron Deficiency Anemia (IDA) is classified as a microcytic,
hypochromic anemia. This classification refers to which of the
following laboratory data?
Student Answer: Hemoglobin and Hematocrit
Mean Corpuscular Volume (MCV) and Mean Corpuscular
Hemoglobin (MCH)
Serum ferritin and serum iron
Total iron binding capacity and transferrin saturation
Instructor RBC indices reveal an MCV (mean corpuscular volume/RBC size) that
Explanation: will be decreased to <80 fL in adults; MCH (mean corpuscular
hemoglobin/RBC color) will show hypochromia or pale cells; RBC
distribution width (RDW)/volume variation will be increased.
(Kennedy-Malone page 519)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank.
Advanced Practice Nursing in the Care of Older Adults. F.A. Davis
Company, 2014-01-14. VitalBook file.
Points Received: 0 of 2
Comments:
Question 6. Question : When interpreting laboratory data, you would expect to see the
following in a patient with Anemia of Chronic Disease (ACD):
Student Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Answer:
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
Instructor Hemoglobin (Hgb): <12 g/dL (120 g/L) women <13 g/dL (130 g/L) men
Explanation: Rarely <10 g/dL (100 g/L) Mean corpuscular volume: 80–96 mcm3
, (normocytic) Mean corpuscular hemoglobin Normochromic (normal color)
RBC distribution width: normal (Kennedy-Malone page 517)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 0 of 2
Comments:
Question 7. Question : The pathophysiological hallmark of ACD is:
Student Depleted iron stores
Answer:
Impaired ability to use iron stores
Chronic uncorrectable bleeding
Reduced intestinal absorption of iron
Instructor The pathophysiological hallmark of ACD is a disregulation of iron
Explanation: homeostasis, characterized by an increased uptake and retention of iron
within the cells of the reticuloendothelial system (liver/spleen), resulting in
decreased RBC production. Essentially, iron is present but inaccessible for
use in the production of Hgb with the erythrocytes (Bross et al., 2010). A
shortened RBC survival is also a contributing factor to ACD. (Kennedy-
Malone page 516-517)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 0 of 2
Comments:
Question 8. Question : The main focus of treatment of patients with ACD is:
Student Replenishing iron stores
Answer:
, Comments:
Question 5. Question : Iron Deficiency Anemia (IDA) is classified as a microcytic,
hypochromic anemia. This classification refers to which of the
following laboratory data?
Student Answer: Hemoglobin and Hematocrit
Mean Corpuscular Volume (MCV) and Mean Corpuscular
Hemoglobin (MCH)
Serum ferritin and serum iron
Total iron binding capacity and transferrin saturation
Instructor RBC indices reveal an MCV (mean corpuscular volume/RBC size) that
Explanation: will be decreased to <80 fL in adults; MCH (mean corpuscular
hemoglobin/RBC color) will show hypochromia or pale cells; RBC
distribution width (RDW)/volume variation will be increased.
(Kennedy-Malone page 519)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank.
Advanced Practice Nursing in the Care of Older Adults. F.A. Davis
Company, 2014-01-14. VitalBook file.
Points Received: 0 of 2
Comments:
Question 6. Question : When interpreting laboratory data, you would expect to see the
following in a patient with Anemia of Chronic Disease (ACD):
Student Hemoglobin <12 g/dl, MCV decreased, MCH decreased
Answer:
Hemoglobin >12 g/dl, MCV increased, MCH increased
Hemoglobin <12 g/dl, MCV normal, MCH normal
Hemoglobin >12 g/dl, MCV decreased, MCH increased
Instructor Hemoglobin (Hgb): <12 g/dL (120 g/L) women <13 g/dL (130 g/L) men
Explanation: Rarely <10 g/dL (100 g/L) Mean corpuscular volume: 80–96 mcm3
, (normocytic) Mean corpuscular hemoglobin Normochromic (normal color)
RBC distribution width: normal (Kennedy-Malone page 517)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 0 of 2
Comments:
Question 7. Question : The pathophysiological hallmark of ACD is:
Student Depleted iron stores
Answer:
Impaired ability to use iron stores
Chronic uncorrectable bleeding
Reduced intestinal absorption of iron
Instructor The pathophysiological hallmark of ACD is a disregulation of iron
Explanation: homeostasis, characterized by an increased uptake and retention of iron
within the cells of the reticuloendothelial system (liver/spleen), resulting in
decreased RBC production. Essentially, iron is present but inaccessible for
use in the production of Hgb with the erythrocytes (Bross et al., 2010). A
shortened RBC survival is also a contributing factor to ACD. (Kennedy-
Malone page 516-517)
Kennedy-Malone, Laurie, Kathleen Fletcher, Lori Martin-Plank. Advanced
Practice Nursing in the Care of Older Adults. F.A. Davis Company, 2014-
01-14. VitalBook file.
Points Received: 0 of 2
Comments:
Question 8. Question : The main focus of treatment of patients with ACD is:
Student Replenishing iron stores
Answer:
