NURS 623 Cary Review With Answers Exam 1

NURS 623 Cary Review With Answers Exam 1Weeks 1-5 30 MC questions 1. Be able to provide education related to iron supplementation (when to take, common side effects, etc.) -Iron is best absorbed on an empty stomach, with water or fruit juice (avoid taking with milk or calcium supplements) about 1 hour before or 2 hours after a meal. However, if upset stomach occurs, can be taken with food or immediately after meals. 2. Be able to interpret a CBC and identify which type of anemia exists HINT** ANEMIA refers to a HEMOGLOBIN of <13.0 in MEN and <12.0 in WOMEN HINT*** suffix -cytic refers to SIZE OF RBC and -chromic refers to COLOR OF RBC MICROCYTIC NORMOCYTIC MACROCYTIC MCV<80 MCV 80-96 MCV>96 HYPOCHROMIC NORMOCHROMIC MACROCHROMIC MCH <27(low) MCH 27-33(within range) MCH>33(high) CAUSES Macrocytic Anemia Normocytic Anemia Microcytic Anemia Vit B12 Deficiency Alcoholism Liver disease DNA replication inhibitors (Methotrexate) Acute blood loss Chronic bone disease Bone marrow failure Hemolysis Chronic Disease Hem synthesis defect – iron deficiency, chronic disease Globin synthesis – thalassemia, sideroblastic defect Sickle Cell (inherited) - Normocytic, Normochromic. Thalassemia – Microcytic, hypochromic, RDW normal. IDA (MOST COMMON) – Microcytic, hypochromic, RDW high (longstanding will be normal). Anemia of Chronic Disease- Normocytic, Normochromic Serum ferritin – if you see changes in MCV, MCH, add it on to labs – single most powerful test for IDA