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RNSG 2539 Final Comprehensive Study Guide + Exam Questions & Solutions Graded A+

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RNSG 2539 Final Comprehensive Study Guide + Exam Questions & Solutions Graded A+

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RNSG 2539 Final Comprehensive
Study Guide + Exam Questions &
Solutions Graded A+
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,causes of anemia - Answer: ● Blood loss
● Inadequate RBC production (hypoproliferative) ● Increased
RBC destruction (hemolytic)
● Deficiency of necessary components such as folic acid, iron,
erythropoietin, and/or vitamin B12


anemia risk factors - Answer: acute or chronic blood loss,
increased hemolysis, inadequate dietary intake or
malabsorption, bone marrow suppression, age


anemia expected findings - Answer: ● Possibly asymptomatic
in mild cases
● Pallor
● Fatigue
● Irritability
● Numbness and tingling of extremities
● Dyspnea on exertion
● Sensitivity to cold
● Pain and hypoxia with sickle-cell crisis

,Anemia physical assessment findings - Answer: ● Shortness of
breath/fatigue, especially upon exertion
● Tachycardia and palpitations
● Dizziness or syncope upon standing or with exertion
● Pallor with pale nail beds and mucous membranes
● Nail bed deformities (spoon-shaped nails)
● Smooth, sore, bright-red tongue (vitamin B12 deficiency


Anemia: Laboratory Tests - Answer: CBC count
RBC indices
Iron studies
Hgb electrophoresis
Sickle-cell test
Schilling test


Anemia diagnostic tests - Answer: bone marrow biopsy


Anemia nursing care - Answer: Encourage increased dietary
intake of the deficient nutrient (iron, vitamin B12, folic acid).

, ● Monitor oxygen saturation to determine a need for oxygen
therapy.
● Administer medications, as prescribed, at the proper time
for optimal absorption, and using an appropriate technique.
● Teach the client and family about energy conservation in the
client and the risk of the client experiencing dizziness upon
standing.
● Teach the client about the time frame for resolution.


Anemia Medications - Answer: - Iron supplements (Ferrous
sulfate, ferrous fumarate, ferrous gluconate)
- Erythropoietin: epoetin alfa
- Vitamin B12 supplementation (cyanocobalamin
- Folic acid supplements


Iron supplements (Ferrous sulfate, ferrous fumarate, ferrous
gluconate) - Answer: ● Oral iron supplements are used to
replenish serum iron and iron stores. Iron is an essential
component of Hgb, and subsequently, oxygen transport.

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