NSG 320
NSG 320/ NSG320 | Exam 2 GCU | Questions &
Answers| Grade A| 100% Correct | Latest
Update (2025/ 2026)
1. What are the main causes of anemia?: 1) Inadequate production of
RBCs or RBC components
2) Increased destruction of RBCs
3) Excessive loss of RBCs through hemorrhage (blood loss)
2. Skin manifestations of anemia: Pallor:
- Decreased Hgb
- Decreased blood flow to the skin Jaundice:
- Increased concentration of serum bilirubin Itching:
- Increased serum and skin bile salt concentrations
3. Cardiopulmonary manifestations of anemia result from: from the
heart and lungs trying to provide adequate O2 to tissues
NSG
,- angina, MI, and heart failureW
4) What contributes to systolic murmurs and bruits in anemia?: low
blood viscosity
5) What are the clinical problems of anemia?: -Fatigue
-Nutritionally compromised
-Inadequate tissue perfusion
6) The overall goals are that the patient with anemia will:: (1) assume
normal activities of daily living
(2) maintain adequate nutrition
(3) develop no complications from anemia
7. What is the goal of therapy for anemia?: correcting the cause
8. What are acute interventions for anemia?: blood
transfusions, drug therapy
(e.g., iron supplements), and O2 therapy
9. What are the nursing interventions for patients with fatigue from
anemia?: - Alternate rest and activity
,- Prioritize activities: Accommodate energy levels and Maximize O2
supply for vital functions
- Aid to minimize the risk of injury from falls
- Monitor cardiorespiratory response
- Evaluate nutrition needs
10. In older populations, anemia is: NOT normal
- Healthy older adults have a modest decline in Hgb of about 1 g/dL
after age 70 - Often related to an underlying cause: Iron deficiency,
bleeding, chronic disease, renal problems
11. What are the manifestations of anemia that can occur in
older adults?: pallor, confusion, ataxia, fatigue, and worsening
cardiovascular and respiratory problems = usually foes unrecognized
12. What are the anemias caused by RBC production?: iron
deficiency and thalessemia
13. What is the lifespan of an RBC?: 120 days
14. What are 3 problems that lead to decreased RBC
production?: 1. Decreased
, Hgb synthesis (iron deficiency and thalessemia)
2. Defective DNA synthesis in RBCs (cobalamin deficiency,
folic acid) 3. Diminished availability of RBC precursors
15. Iron deficiency anemia can be caused by: - inadequate diet intake
(ex: need more with manstruation and pregnancy)
- malabsorption (faulty duodenum)
- blood loss (GI bleeding, postmenopausal, chronic kidney disease)
16. What is the most common clinical manifestation of iron
deficiency anemia?: pallor
17. What are the other manifestations of iron deficiency
anemia?: - Glossitis:
Inflammation of tongue
- Cheilitis: Inflammation of lips
- Headache, paresthesia
18. What are the diagnostic studies for iron deficiency anemia?: labs
(hgb, hct, etc), stool occult blood test, endoscopy and colonoscopy, bone
marrow biopsy