Answers, Graded A+
1. aplastic anaemia the client who has aplastic anaemia will have
manifestations of petechiae and ecchymosis. Dyspneal on exertion also
can be present. In aplastic anaemia, all three major blood components (red
blood cells, white blood cells, and platelets) are reduced or absent, which
is known as pancytopenia. Manifestations usually develop gradually.
2. Sickle cell anaemia the client who has sickle cell anaemia will have
manifestations of jaundice with an enlarged liver and spleen.
3. Pernicious anaemia the client who has pernicious anaemia will have
manifestation of glossitis (smooth, beefy-red tongue) and weight loss.
4. Polycythaemia The client who has polycythaemia Vera will have a
plethoric (dark, flushed) manifestation of the facial skin
and mucous membranes.
5. Right sided heart 1. Jugular Vein Distention
failure 2. Ascending Dependent Enema
3. Weight Gain
4. Hepatomegaly (Liver Enlargement)
6. Left sided heart 1. Orthopnoea, dyspneal failure 2. Crackles
3. Oliguria
4. Frothy Sputum
5. Displaced Apical Pulse (Hypertrophy)
6. Decreased cap refill
7. Flattened T-wave, Hypokalaemia with a possible U wave are due to
_________________
8. Prolonged S-T in- Hypocalcaemia
, ATI Proctored
tergal and a
prolonged Q-T
interval
9. Toxic digoxin lev- Atrioventricular block,
ells ventricular fibrillation, and
ventricular tachycardia is a few of the dysrhythmias
occurring with toxic digoxin levels.
10. Beta blocker don't stop abruptly; avoid in asthma; take with food
teaching Count pulse for 1 min before taking
11. Dyspneal with hic- The client who has pericarditis will experience dips-
cups near, hiccups, and a non-productive cough. These man-
infestations can indicate heart failure from pericardial
compression due to constrictive pericarditis or cardiac
tamponade.
12. Iron toxicity Hemosiderosis; can occur in sickle cell patients who
receive many blood transfusions
13. epoetin alfa HTN is common A/E
Maximum effect occurs in 2-3 months
14. Dry, pale skin with peripheral artery disease minimal body hair
15. Reddish-brown Venous insufficiency pigmentation
16. Fresh Frozen Pals- -plasma rich in clotting factors; ma (FFP) -desired
effect is decrease in prothrombin time
17. Fluid volume over- -JVD
, ATI Proctored
load -Moist crackles
-Increased HR
18. omega-3 fatty polyunsaturated fatty acids commonly found in fish oils
acids that are beneficial to cardiovascular health
19. Initiate weekly in- The nurse should initiate weekly injections of vitamin
ejections of B12 B12 for a client who has pernicious anaemia, and then
decrease to monthly. Pernicious anaemia is caused by
a lack of intrinsic factor needed to absorb vitamin B12
from the gastrointestinal tract.
20. unstable angina -chest pain that occurs while a person is at rest and not
exerting himself
-chest pain lasting longer than 15 mins
-Minimal relief from nitroglycerin
21. Prinzmetal angina A variant of angina pectoris that occurs at rest
22. pulsus paradoxus -cardiac tamponade
-systolic blood pressure is at least 10 mm Hg higher
on expiration than on inspiration
23. Snakebite IMMOBILIZE LIMB AT THE LEVEL OF HEART - prevents
spread of venom
Remove any constrictive clothing or jewelry
24. Primary intention Occurs where the tissue surfaces have been
approxihealingmated, and there is minimal or no tissue loss
25. heterograft skin transplant taken from a species other than the patient's
, ATI Proctored
26. homograph Cadaver skin
27. Irregularly shaped Malignant melanoma lesion with blue tones
28. Acinitic Keratosis Rough, dry, scaly lesion
29. Squamous cell Firm nodule with crust carcinoma
30. Basal cell carcino- Pearly papule with ulcerated center ma
31. third degree frost- the skin of the affected area has small blisters that are
bite blood-filled and the skin does not blanch
32. first degree frost- the skin of the affected area is reddened and looks
waxy bite
33. Second degree the skin of the affected area has large, fluid-filled
blisters frostbite
34. Fourth degree The skin of the affected area is frozen. Blisters do not
frostbite appear. The client's muscles and bones are affected
35. Potential malig- Ulceration, bleeding, or exudation are indications of a
nancy of a mole mole's potential malignancy. Increasing size is also a
warning sign.
36. Promotion of Protein, Vitamin C wound healing
37. Herpes Zoster Acyclovir medical management
38. papule A papule is a small, solid, elevated lesion with distinct