NUR 304 Med-Surg Exam 4 – Study Guide and Exam Review Material
________________ is a condition in which the hemoglobin concentration is lower than normal,
reflecting the presence of fewer than the normal number of erythrocytes within the circulatory
system. - correct answer ✔✔Anemia
A healthy person can often tolerate as much as _____% gradual reduction in hemoglobin
without pronounced symptoms or significant incapacity. - correct answer ✔✔50%
General complications of severe anemia include _____________ , _______________ , and
______________ . - correct answer ✔✔heart failure, paresthesias, delirium
The overall prevalence of anemia increases with age, from ______% in persons aged 65 to 69, to
_______% in persons over age 85. - correct answer ✔✔4 - 6% ,
13 - 14 %
A _____________ assessment should be preformed for patients with known megaloblastic
anemia. - correct answer ✔✔neurologic
____________ and ___________ should not be taken with iron preparations, because they
greatly diminish the absorption of iron. - correct answer ✔✔antacids, dairy products
____________ _____________ is a rare disease caused by a decrease in or damage to marrow
stem cells, damage to the microenvironment within the marrow, or replacement of the marrow
with fat. - correct answer ✔✔aplastic anemia
Chronic use of ________________ to reduce gastric acid production can inhibit B12 absorption,
as can the use of ______________ in managing diabetes. - correct answer ✔✔Proton pump
inhibitors (PPIs), metformin (Glucocphage)
, Assessment of patients who have or are at risk for megaloblastic anemia includes inspection of
the ______________ , ______________ , and ________________ . - correct answer ✔✔skin,
mucous membranes, tongue
________________ is a severe hemolytic anemia that results from inheritance of the sickle
hemoglobin gene, which causes the hemoglobin molecule to be defective. - correct answer
✔✔sickle cell disease
_____________ is a controversial treatment strategy that treats DIC by interrupting the
thrombosis process. - correct answer ✔✔Heparin infusion
When the patient has anemia, what medical management goal will the nurse assist the patient
and health care team in achieving? - correct answer ✔✔correcting or controlling the cause of
anemia
Describe how anemia impacts the older adult patient (5) - correct answer ✔✔1) decreased
mobility / fall risk
2) increased depression
3) delirium
5) HR and CO do not increase as quickly; thus fatigue, dyspnea, & confusion seen earlier
When the nurse is educating the patient and family about a healthy diet for the treatment or
iron deficiency anemia, who and what should be included? - correct answer ✔✔Additional
amounts of iron (up to 2 mg daily) must be absorbed by childbearing age women to replace lost
in menstruation
What are the four most common causes of iron deficiency anemia in men and postmenopausal
women? - correct answer ✔✔1) Bleeding from ulcers
2) Gastritis
________________ is a condition in which the hemoglobin concentration is lower than normal,
reflecting the presence of fewer than the normal number of erythrocytes within the circulatory
system. - correct answer ✔✔Anemia
A healthy person can often tolerate as much as _____% gradual reduction in hemoglobin
without pronounced symptoms or significant incapacity. - correct answer ✔✔50%
General complications of severe anemia include _____________ , _______________ , and
______________ . - correct answer ✔✔heart failure, paresthesias, delirium
The overall prevalence of anemia increases with age, from ______% in persons aged 65 to 69, to
_______% in persons over age 85. - correct answer ✔✔4 - 6% ,
13 - 14 %
A _____________ assessment should be preformed for patients with known megaloblastic
anemia. - correct answer ✔✔neurologic
____________ and ___________ should not be taken with iron preparations, because they
greatly diminish the absorption of iron. - correct answer ✔✔antacids, dairy products
____________ _____________ is a rare disease caused by a decrease in or damage to marrow
stem cells, damage to the microenvironment within the marrow, or replacement of the marrow
with fat. - correct answer ✔✔aplastic anemia
Chronic use of ________________ to reduce gastric acid production can inhibit B12 absorption,
as can the use of ______________ in managing diabetes. - correct answer ✔✔Proton pump
inhibitors (PPIs), metformin (Glucocphage)
, Assessment of patients who have or are at risk for megaloblastic anemia includes inspection of
the ______________ , ______________ , and ________________ . - correct answer ✔✔skin,
mucous membranes, tongue
________________ is a severe hemolytic anemia that results from inheritance of the sickle
hemoglobin gene, which causes the hemoglobin molecule to be defective. - correct answer
✔✔sickle cell disease
_____________ is a controversial treatment strategy that treats DIC by interrupting the
thrombosis process. - correct answer ✔✔Heparin infusion
When the patient has anemia, what medical management goal will the nurse assist the patient
and health care team in achieving? - correct answer ✔✔correcting or controlling the cause of
anemia
Describe how anemia impacts the older adult patient (5) - correct answer ✔✔1) decreased
mobility / fall risk
2) increased depression
3) delirium
5) HR and CO do not increase as quickly; thus fatigue, dyspnea, & confusion seen earlier
When the nurse is educating the patient and family about a healthy diet for the treatment or
iron deficiency anemia, who and what should be included? - correct answer ✔✔Additional
amounts of iron (up to 2 mg daily) must be absorbed by childbearing age women to replace lost
in menstruation
What are the four most common causes of iron deficiency anemia in men and postmenopausal
women? - correct answer ✔✔1) Bleeding from ulcers
2) Gastritis
