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NUR 172 Final Exam with correct answers

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NUR 172 Final Exam with correct answers

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NUR 172 Final Exam with correct answers

What is thrombocytopenia? - CORRECT ANSWERS ✔✔low platelet count



What are granulocytes? - CORRECT ANSWERS ✔✔neutrophils, eosinophils,
basophils ( Big takeway is that they are WBC's)



Teaching for Iron supplements - CORRECT ANSWERS ✔✔-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 ANSWERS ✔✔- Wash hands

- Wear a mask

- Limit interaction too less than 30 minutes



Difference between chemotherapy and radiation - CORRECT ANSWERS ✔✔-
Chemotherapy spreads throughout the whole body and kills everything

- Radiation is localized.



What stage is HIV declared AIDS? - CORRECT ANSWERS ✔✔Stage 3

,Normal vs AIDS CD4 Levels - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔An immunity that
develops before birth and throughout the lifetime of the individual



Digoxin (Lanoxin) - teaching, levels, and OD symptoms - CORRECT
ANSWERS ✔✔- 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 ANSWERS ✔✔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 ANSWERS ✔✔80-100



MCV > 100 means what? - CORRECT ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔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 ANSWERS ✔✔Assess for;

B12 deficiency

Folate dificiency

EtoH abuse

Liver disease

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