Science Medicine Nursing
NR 507 Midterm
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NR 507 Midterm PATHOPHYSIOLOGY Edapt wk 6- A... CNA - NNAAP Pract
100 terms 21 terms 60 terms
leabl003 Preview tanikamitchell Preview antidote2002
Which client should the nurse A 30-year-old client who donates blood every 3 months
practitioner (NP) recognize as
most at risk of developing iron
deficiency anemia?
A 25-year-old client who
recently became pregnant
A 40-year-old client with a
history of peptic ulcers
A 30-year-old client who
donates blood every 3 months
A 50-year-old client with
congestive heart failure
The nurse practitioner (NP) Serum ferritin
reviews a client's laboratory
results. Which laboratory result
best reflects the client's level of
iron stores?
Transferrin saturation
Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity
The nurse practitioner (NP) is a bloos transfusion
caring for a client with beta
thalassemia major. The NP
should anticipate the client will
require what?
,The nurse practitioner (NP) is Avoid drinking tea or coffee with meals
counseling a client with iron Consume lean red meat
deficiency anemia about dietary Consume iron-fortified cereal
needs. Which instruction(s) Consume vitamin C-rich foods with iron-rich meals
should the NP include? Select
all that apply.
Avoid drinking tea or coffee with
meals
Consume lean red meat
Increase intake of calcium-rich
foods
Consume iron-fortified cereal
Consume vitamin C-rich foods
with iron-rich meals
A nurse practitioner (NP) is Refer the couple for genetic counseling.
providing pre-conception Explain what it means to be a carrier of thalassemia.
counseling to a couple, both of Discuss inheritance patterns of thalassemia.
whom are carriers of
thalassemia. Which of the
following actions should the NP
take? Select all that apply.
Encourage the couple not to
conceive.
Refer the couple for genetic
counseling.
Explain what it means to be a
carrier of thalassemia.
Discuss ways to prevent
naturally conceiving a child with
thalassemia.
Discuss inheritance patterns of
thalassemia.
The nurse practitioner (NP) Ferritin level
assesses the client on a follow- Hemoglobin level
up visit after the initiation of Energy level
treatment for thalassemia
including administration of
blood transfusions. What three
(3) assessments should the NP
prioritize to evaluate client
outcomes? Select 3.
Dietary intake
Developmental milestones
Ferritin level
Hemoglobin level
Energy level
, Which of the following clients Adult client who had a vertical sleeve gastrectomy
should the nurse practitioner
(NP) recognize as being most at
risk for developing vitamin B-12
deficiency anemia?
An infant who is exclusively
breastfed
Middle adult client who eats a
high-protein diet
A client who is pregnant
Adult client who had a vertical
sleeve gastrectomy
Mean Corpuscular Hemoglobin indicates hemoglobin concentration in RBCs
Concentration (MCHC)
Ferritin total iron stores; low levels indicate iron deficiency
small RBC's
microlytic anemia -iron deficiency
-thalassemia
blood transfusion- will increase iron stores
Thalassemia beta major
Chelation therapy-deferasirox & deferiprone
treatment
bone marrow transplant
Mediated by IgE antibody
Type 1 hypersensitivity
Anaphylaxis, allergic rhinitis, asthma
mediated by IgG antibodies and macrophages
Type 2 hypersensitivity
HITT reaction, transfusion reaction, Graves Disease
IgG antibodies attach the TSH receptor causing an over
production of thyroid hormones leading the hyperthyroidism
Graves disease
tx: beta blockers for tachycardia, methimazole (not for pregnant),
propylthiouracil (for pregnant), radioactive iodine therapy (not
for pregnant)
neutrophil mediated reaction
immune complexes activate complement system & neutrophils
Type 3 hypersensitivity
resulting in tissue destruction
-Lupus, serum sickness
B&T cells are over reactive causing production of antibodies
systemic lupus erythematosus DX with ANA antibody
TX with NSAIDS for pain
NR 507 Midterm
Save
Students also studied
Flashcard sets Study guides
NR 507 Midterm PATHOPHYSIOLOGY Edapt wk 6- A... CNA - NNAAP Pract
100 terms 21 terms 60 terms
leabl003 Preview tanikamitchell Preview antidote2002
Which client should the nurse A 30-year-old client who donates blood every 3 months
practitioner (NP) recognize as
most at risk of developing iron
deficiency anemia?
A 25-year-old client who
recently became pregnant
A 40-year-old client with a
history of peptic ulcers
A 30-year-old client who
donates blood every 3 months
A 50-year-old client with
congestive heart failure
The nurse practitioner (NP) Serum ferritin
reviews a client's laboratory
results. Which laboratory result
best reflects the client's level of
iron stores?
Transferrin saturation
Hemoglobin
Serum iron
Serum ferritin
Hematocrit
Total iron-binding capacity
The nurse practitioner (NP) is a bloos transfusion
caring for a client with beta
thalassemia major. The NP
should anticipate the client will
require what?
,The nurse practitioner (NP) is Avoid drinking tea or coffee with meals
counseling a client with iron Consume lean red meat
deficiency anemia about dietary Consume iron-fortified cereal
needs. Which instruction(s) Consume vitamin C-rich foods with iron-rich meals
should the NP include? Select
all that apply.
Avoid drinking tea or coffee with
meals
Consume lean red meat
Increase intake of calcium-rich
foods
Consume iron-fortified cereal
Consume vitamin C-rich foods
with iron-rich meals
A nurse practitioner (NP) is Refer the couple for genetic counseling.
providing pre-conception Explain what it means to be a carrier of thalassemia.
counseling to a couple, both of Discuss inheritance patterns of thalassemia.
whom are carriers of
thalassemia. Which of the
following actions should the NP
take? Select all that apply.
Encourage the couple not to
conceive.
Refer the couple for genetic
counseling.
Explain what it means to be a
carrier of thalassemia.
Discuss ways to prevent
naturally conceiving a child with
thalassemia.
Discuss inheritance patterns of
thalassemia.
The nurse practitioner (NP) Ferritin level
assesses the client on a follow- Hemoglobin level
up visit after the initiation of Energy level
treatment for thalassemia
including administration of
blood transfusions. What three
(3) assessments should the NP
prioritize to evaluate client
outcomes? Select 3.
Dietary intake
Developmental milestones
Ferritin level
Hemoglobin level
Energy level
, Which of the following clients Adult client who had a vertical sleeve gastrectomy
should the nurse practitioner
(NP) recognize as being most at
risk for developing vitamin B-12
deficiency anemia?
An infant who is exclusively
breastfed
Middle adult client who eats a
high-protein diet
A client who is pregnant
Adult client who had a vertical
sleeve gastrectomy
Mean Corpuscular Hemoglobin indicates hemoglobin concentration in RBCs
Concentration (MCHC)
Ferritin total iron stores; low levels indicate iron deficiency
small RBC's
microlytic anemia -iron deficiency
-thalassemia
blood transfusion- will increase iron stores
Thalassemia beta major
Chelation therapy-deferasirox & deferiprone
treatment
bone marrow transplant
Mediated by IgE antibody
Type 1 hypersensitivity
Anaphylaxis, allergic rhinitis, asthma
mediated by IgG antibodies and macrophages
Type 2 hypersensitivity
HITT reaction, transfusion reaction, Graves Disease
IgG antibodies attach the TSH receptor causing an over
production of thyroid hormones leading the hyperthyroidism
Graves disease
tx: beta blockers for tachycardia, methimazole (not for pregnant),
propylthiouracil (for pregnant), radioactive iodine therapy (not
for pregnant)
neutrophil mediated reaction
immune complexes activate complement system & neutrophils
Type 3 hypersensitivity
resulting in tissue destruction
-Lupus, serum sickness
B&T cells are over reactive causing production of antibodies
systemic lupus erythematosus DX with ANA antibody
TX with NSAIDS for pain
