NURS 6202 EXAM 2 QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS
Microcytic anemia - ANSWER -Low MCV
-Small RBCs
-Often associated with iron-deficiency or Thalessaemia
Normocytic anemia - ANSWER -MCV 80-100 (WNL)
-acute blood loss
-anemia of chronic dx
- Aplastic Anemia
macrocytic anemia - ANSWER • High MCV
• Large, fragile RBCs
• Often associated with folate and/or B-12 deficiency;
pernicious anemia
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Anemia - ANSWER A deficiency in the number of
erythrocytes (RBC), quantity of Hgb, and/or the volume
of packed RBC (HCT)
normal hemoglobin levels - ANSWER Male: 14-17.3 g/dL
Female: 11.7-15.5 g/dL
Normal hematocrit levels - ANSWER Male: 45%-52%
Female: 36-48%
Iron Deficiency Anemia - ANSWER - Most common form
of anemia
- Low iron levels
- Causes: poor intake, absorption problem, blood loss
- tx: diet, supplementation
iron deficiency anemia Sx - ANSWER "LOW IRON"
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Lethargic
Overexert easily
White face (pale)
Inflammation of tongue
Reduced Hgb Lvls
Observe changes in RBC
Nail changes (spoon shaped)
Iron supplementation education - ANSWER - take on an
empty stomach 1 hr before meals
- take with vitamin C (OJ)
- Stool will be dark black
- Side effect: constipation
- If liquid: mix with a drink and drink with a straw
Thalassemia - ANSWER -Inherited defect in the ability to
produce hemoglobin, usually seen in persons of
Mediterranean background.