NR-324 final Chamberlain
Comprehensive Questions
(Frequently Tested) and Complete
Solutions Graded A+
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When educating clients on treatments regarding Iron-deficiency
anemia, what would be priority information? - Answer: -Iron can stain
the skin and if the IV is painful or swollen it can indicate infiltration
where the iron is leaking out of the vessel.
-Melena is the black tarry stools and is caused by excess iron.
,-Oral iron is best taken on an empty stomach but nausea is a common
side effect. To combat this they can take it with Orange juice (which
improves absorption) or take at bedtime.
-Angular chelitis is a common symptom of iron deficiency anemia, as
the anemia is corrected the S/S of anemia should go away.
What are the priority assessments of a client diagnosed with
thrombocytopenia? - Answer: Thrombocytopenia can cause serious
bleeding anywhere. The most worrisome bleeding is hidden because it
is often not caught until it is severe. Altered LOC is a priority
assessment to ensure no hemorrhage has occurred in the brain.
A client in sickle cell crisis questions the need for a type and screen.
What would be the appropriate response from the nurse? - Answer:
Your blood cells are being destroyed. We will check your blood type to
make sure that if you need to replace those destroyed blood cells we
can give you the kind your body will accept.
What are signs of hemorrhage? - Answer: Shortness of breath due to
decreased ability to meet metabolic demand for O2
Palpitations due to tachycardia to attempt to increase cardiac output
Pallor due to decreased fluid volume, shunting to the core (decreased
CO, decreased arterial blood flow)
, What education would be priority for a client receiving a blood
transfusion? - Answer: Do not ignore symptoms such as chills, back
pain, shortness of breath, or achiness.
How are clients with pernicious anemia treated? - Answer: Pernicious
anemia is caused by failure to absorb B12 in the ileum, either due to an
ileostomy or the autoimmune destruction of the intrinsic factor
secreting cells. Treatment includes injections or nasal sprays for life.
Blood transfusions are reserved for clients with an Hgb of less than 7, it
is not the usual treatment of pernicious anemia.
A diet rich in meats and grains can help with B12 deficient anemia if the
problem arises from malnutrition and not an absorption problem.
A diet rich in leafy greens and fish is a treatment for folic acid deficient
anemia and would not address the decreased B12 levels.
When differentiating megaloblastic anemias, what symptomology
would be most differential? - Answer: B12 is a required element for
neurologic function. Paresthesia's and confusion are manifestations of
Pernicious anemia but not folic acid deficiency anemia.
The sore beefy red tongue and Dyspepsia and Nausea are symptoms of
both megaloblastic anemias. Weakness and fatigue are common
symptoms for all anemias.
Comprehensive Questions
(Frequently Tested) and Complete
Solutions Graded A+
Professional Academic Assistance Services
Services Offered
• Proctored Exam Assistance
• Online Class Management (Full Course Support)
• Exam Preparation & Study Materials
• Assignments and Coursework Support
• Essay and Research Paper Writing
• Discussion Posts & Responses
• Editing and Proofreading
• Confidential Academic Consultation
Contact Information
Email:
WhatsApp link: https://wa.me/254704846336
Fast Response | Confidential | Reliable Academic Support
Helping Students Achieve Academic Excellence
When educating clients on treatments regarding Iron-deficiency
anemia, what would be priority information? - Answer: -Iron can stain
the skin and if the IV is painful or swollen it can indicate infiltration
where the iron is leaking out of the vessel.
-Melena is the black tarry stools and is caused by excess iron.
,-Oral iron is best taken on an empty stomach but nausea is a common
side effect. To combat this they can take it with Orange juice (which
improves absorption) or take at bedtime.
-Angular chelitis is a common symptom of iron deficiency anemia, as
the anemia is corrected the S/S of anemia should go away.
What are the priority assessments of a client diagnosed with
thrombocytopenia? - Answer: Thrombocytopenia can cause serious
bleeding anywhere. The most worrisome bleeding is hidden because it
is often not caught until it is severe. Altered LOC is a priority
assessment to ensure no hemorrhage has occurred in the brain.
A client in sickle cell crisis questions the need for a type and screen.
What would be the appropriate response from the nurse? - Answer:
Your blood cells are being destroyed. We will check your blood type to
make sure that if you need to replace those destroyed blood cells we
can give you the kind your body will accept.
What are signs of hemorrhage? - Answer: Shortness of breath due to
decreased ability to meet metabolic demand for O2
Palpitations due to tachycardia to attempt to increase cardiac output
Pallor due to decreased fluid volume, shunting to the core (decreased
CO, decreased arterial blood flow)
, What education would be priority for a client receiving a blood
transfusion? - Answer: Do not ignore symptoms such as chills, back
pain, shortness of breath, or achiness.
How are clients with pernicious anemia treated? - Answer: Pernicious
anemia is caused by failure to absorb B12 in the ileum, either due to an
ileostomy or the autoimmune destruction of the intrinsic factor
secreting cells. Treatment includes injections or nasal sprays for life.
Blood transfusions are reserved for clients with an Hgb of less than 7, it
is not the usual treatment of pernicious anemia.
A diet rich in meats and grains can help with B12 deficient anemia if the
problem arises from malnutrition and not an absorption problem.
A diet rich in leafy greens and fish is a treatment for folic acid deficient
anemia and would not address the decreased B12 levels.
When differentiating megaloblastic anemias, what symptomology
would be most differential? - Answer: B12 is a required element for
neurologic function. Paresthesia's and confusion are manifestations of
Pernicious anemia but not folic acid deficiency anemia.
The sore beefy red tongue and Dyspepsia and Nausea are symptoms of
both megaloblastic anemias. Weakness and fatigue are common
symptoms for all anemias.
