NUR 172 Final Exam Questions and Answers 100% Pass

NUR 172 Final Exam Questions and Answers 100% Pass What is thrombocytopenia? - Correct Answer ️️ -low platelet count What are granulocytes? - Correct Answer ️️ -neutrophils, eosinophils, basophils ( Big takeway is that they are WBC's) Teaching for Iron supplements - Correct Answer ️️ --Take on an empty stomach - Take 1-2 hours before meal - Can turn front teeth red Cancer - patient teaching regarding social interaction and precautions - Correct Answer ️️ -- Wash hands - Wear a mask - Limit interaction too less than 30 minutes Difference between chemotherapy and radiation - Correct Answer ️️ -- Chemotherapy spreads throughout the whole body and kills everything - Radiation is localized. What stage is HIV declared AIDS? - Correct Answer ️️ -Stage 3 Normal vs AIDS CD4 Levels - Correct Answer ️️ -When the CD4 count drops below 200, a person is diagnosed with AIDS. A normal range for CD4 cells is about 700-1,000 Define acquired immunity - Correct Answer ️️ -An immunity that develops before birth and throughout the lifetime of the individual Digoxin (Lanoxin) - teaching, levels, and OD symptoms - Correct Answer ️️ -- contact health care professional before taking medication if pulse rate is <60 or >100. - Watch levels normal 0.8-2.0 - Toxicity symptoms include nausea, vomiting, abdominal pain What is MCV? - Correct Answer ️️ -mean corpuscular volume. There are three main types of corpuscles (blood cells) in your blood-red blood cells, white blood cells, and platelets. Normal MCV range - Correct Answer ️️ -80-100 MCV > 100 means what? - Correct Answer ️️ -Macrocytic anemia. Common causes include; B12 deficiency, Folic acid deficiency, EtOH abuse, or liver disease What lab is tested to determine anemia? What are the normal M/F levels for anemia? - Correct Answer ️️ -Hemoglobin Male <13 Female <12 MCV is between 80-100, what is your next step? If this test is greater than 1.3 what are you thinking? - Correct Answer ️️ -Check creatinine. If creatinine > 1.3 you need a renal consult for CKD MCV is < 80 what is your next step? What do you do if these two tests come back low? - Correct Answer ️️ -Iron studies: Ferritin (is a protein that contains iron and is the primary form of iron stored inside of cells) <15 ng/ml TSTAT ( you get this by dividing the serum iron level by the total iron-binding capacity. The total iron-binding capacity correlates with circulating transferrin, which is the major iron-binding protein in plasma.) < 20% LOW - * Give iron supplements (IV or PO) * Consider EPO is surgery anticipated * Treat cause if iron deficiency anemia is confirmed. Examples; GI blood loss, menorrhagia, pregnancy, insufficient intake. MCV > 100 what is your next step? - Correct Answer ️️ -Assess for; B12 deficiency Folate dificiency EtoH abuse Liver disease Hypothyroidism MCV is 85 and the creatinine is 1.2. What is your next thought as a nurse? - Correct Answer ️️ -is the reticulocyte (baby RBC without a nucleus) normal? MCV is 85, creatinine is 1.2, and the reticulocyte count is normal between 0.5-1.5%. What is your next thought as the nurse? What do you need too rule out? - Correct Answer ️️ -Rule out blood loss Rule out hemolysis Iron Consider EPO MCV is 85, creatinine is 1.2, and the reticulocyte count is 0.2%. What are you evaluating for? How is this normally treated? - Correct Answer ️️ -Anemia of a chronic disease