Adult Health Exam 3 - Troy University
Test Questions and Actual Answers.
anemia - Answer a deficiency in RBCs
hematocrit - Answer > volume percentage of RBCs in the blood
> women: 38-47%
> men: 40-54%
ferritin - Answer major iron storing protein in the body
hemoglobin - Answer > measures the capacity of the hemoglobin to carry gases
> women: 12-16 g/dL
> men: 13.5-18 g/dL
total RBC count - Answer > counts number of circulating RBCs
> women: 4-5 x 10^6/uL
> men: 4.5-6 x 10^6/uL
causes of anemia - Answer blood loss, increased RBC destruction, decreased RBC production
What is the most common anemia? - Answer iron-deficiency anemia
Mild anemia - Answer Hgb of 10-14 g/dL
manifestations of mild anemia - Answer > increased heart rate
> paleness
> increased RR
> low O2 sat
Moderate anemia - Answer > Hgb of 6-10 g/dL
> patients may experience symptoms at rest
Severe anemia - Answer > Hgb < 6 g/dL
> pt exhibits signs of shock and cyanosis
, > involves multiple body systems
some nursing considerations for the treatment of a severely anemic pt - Answer > provide
supplemental O2
> have an IV site established
> notify the provider
> put the bed in High Fowlers
> put some warm blankets on them
> may need to put in reverse Trendelenburg to get the > blood flowing back to the vital organs
Gauge size for blood transfusions - Answer preferably 18.. If that is not an option, use a 20
gauge
Blood loss anemia - Answer > secondary
> monitor pt during and after surgery for blood loss
> there is no need for long-term therapy - just replace what is lost
Chronic blood loss - Answer > decreases Iron stores
> causes include bleeding ulcers, hemorrhoids, menstrual, and post-menopausal blood loss
How do you test for a GI bleed? - Answer Hemoccult
management of chronic blood loss - Answer > identify the source/cause
> stop the bleeding
> provide supplemental Iron
Objective nursing assessment for anemia - Answer > past health history (chemo drugs?
kidney pt?)
> medications
> surgery or other treatments (such as radiation)
> Head-to-toe: anemia can affect almost every body system
Subjective nursing assessment for anemia - Answer > health perception
> health management (did they stop taking their Iron supplements?)
> nutritional-metabolic
> elimination (blood in stool? chronic constipation?)
Test Questions and Actual Answers.
anemia - Answer a deficiency in RBCs
hematocrit - Answer > volume percentage of RBCs in the blood
> women: 38-47%
> men: 40-54%
ferritin - Answer major iron storing protein in the body
hemoglobin - Answer > measures the capacity of the hemoglobin to carry gases
> women: 12-16 g/dL
> men: 13.5-18 g/dL
total RBC count - Answer > counts number of circulating RBCs
> women: 4-5 x 10^6/uL
> men: 4.5-6 x 10^6/uL
causes of anemia - Answer blood loss, increased RBC destruction, decreased RBC production
What is the most common anemia? - Answer iron-deficiency anemia
Mild anemia - Answer Hgb of 10-14 g/dL
manifestations of mild anemia - Answer > increased heart rate
> paleness
> increased RR
> low O2 sat
Moderate anemia - Answer > Hgb of 6-10 g/dL
> patients may experience symptoms at rest
Severe anemia - Answer > Hgb < 6 g/dL
> pt exhibits signs of shock and cyanosis
, > involves multiple body systems
some nursing considerations for the treatment of a severely anemic pt - Answer > provide
supplemental O2
> have an IV site established
> notify the provider
> put the bed in High Fowlers
> put some warm blankets on them
> may need to put in reverse Trendelenburg to get the > blood flowing back to the vital organs
Gauge size for blood transfusions - Answer preferably 18.. If that is not an option, use a 20
gauge
Blood loss anemia - Answer > secondary
> monitor pt during and after surgery for blood loss
> there is no need for long-term therapy - just replace what is lost
Chronic blood loss - Answer > decreases Iron stores
> causes include bleeding ulcers, hemorrhoids, menstrual, and post-menopausal blood loss
How do you test for a GI bleed? - Answer Hemoccult
management of chronic blood loss - Answer > identify the source/cause
> stop the bleeding
> provide supplemental Iron
Objective nursing assessment for anemia - Answer > past health history (chemo drugs?
kidney pt?)
> medications
> surgery or other treatments (such as radiation)
> Head-to-toe: anemia can affect almost every body system
Subjective nursing assessment for anemia - Answer > health perception
> health management (did they stop taking their Iron supplements?)
> nutritional-metabolic
> elimination (blood in stool? chronic constipation?)
